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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Migraines

I have daily chronic migranes and have suffered with them for over 6 years. It makes daily activities very difficult. I cannot afford the botox medications is there anything you could recommend other than Topomax which I ve taken for years that does not help
Tue, 16 Dec 2014
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Neurologist 's  Response
Hello dear,
I can understand your concerns.Most important in preventing migraine episodes is to identify your trigger factors(may be stress,bright light,food items like tea,coffee cheese or it may be anything that precipitates your headache) and eliminate them from your lifestyle. Topiramate is just one class of drug and there are many different class of drugs like Tricyclic antidepressants(amitriptyline), Beta blockers(propranolol),calcium channel blockers(flunarizine),triptans and several others.Please consult your physician so that he can decide the class of drugs,which suits you the best.I hope it helps you.
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Suggest Treatment For Chronic Migraines

Hello dear, I can understand your concerns.Most important in preventing migraine episodes is to identify your trigger factors(may be stress,bright light,food items like tea,coffee cheese or it may be anything that precipitates your headache) and eliminate them from your lifestyle. Topiramate is just one class of drug and there are many different class of drugs like Tricyclic antidepressants(amitriptyline), Beta blockers(propranolol),calcium channel blockers(flunarizine),triptans and several others.Please consult your physician so that he can decide the class of drugs,which suits you the best.I hope it helps you.