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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Migraine

sir, I am female doctor by profession 32 yrs old not very hectic schedule even though I m suffering from migraine since 2-3 years firstly attacks use to come after 2to 3 weeks .after one year it becomes continuous like headache foe one week continuously though it gets relieves by paramet it is always associated with nausea. then I started taking tryptomer 10mg at bed time. I have taken it for 4-5 months but when I stop taking again headache occurred which was severe in intensity last for 2-3 days makes me totally exhausted. then I again started tryptomer but no use attacks of less intensity occur at intervals of 7-8 days and now because of use of tryptomer sleep disturbances also occurred I m unable to take sound sleep without tryptomer which further precipitate migraine
Thu, 4 Feb 2016
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  User's Response
Hello!

Welcome on HCM!

I understand your concern and would explain that tryptomer is a tricyclic antidepressant, used as preventive therapy in migraine. It also has a sedative effects which helps you sleep better.

I would recommend switching gradually to topiramate. This is an antiepileptic drug, very effective in the prevention of migraine attacks and also helpful in sleeping problems.

For the sleeping problems, you can also start melatonine at sleeping time. It can help you regulate your physiological sleep-wake cycle.

Hope to have been helpful!
Kind regards,
Dr. Aida
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Suggest Treatment For Migraine

Hello! Welcome on HCM! I understand your concern and would explain that tryptomer is a tricyclic antidepressant, used as preventive therapy in migraine. It also has a sedative effects which helps you sleep better. I would recommend switching gradually to topiramate. This is an antiepileptic drug, very effective in the prevention of migraine attacks and also helpful in sleeping problems. For the sleeping problems, you can also start melatonine at sleeping time. It can help you regulate your physiological sleep-wake cycle. Hope to have been helpful! Kind regards, Dr. Aida