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Taking Deseril, Napra, Provonal and Topaz for migraine. Have depression, negative thoughts, bad mood

Hi this Kirti here presently i am on Migrine treatment and my Doctor has advised me Tab Deseril 1 Mg, Tab Napra D, Tan Provonal 40 mg and Topaz 25 mg but for last 15 days or so I have symptons of Depression i.e. like lack of proper sleep in night, No interest in taking food, All way negative thought coming and mood is very bad. please help if any drug has side effected me or so
Asked On : Thu, 3 Jan 2013
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Psychiatrist 's  Response
Thanks for your query. Deseril is methylsergide, useful in preventing migraine attacks. Other drugs you have been prescribed include naproxen, NSAID for pain relief and topiramate to prevent migraine attacks. Deseril can definitely result in sleep disturbance though the negative thoughts seem untreated to the medication. You require a thorough psychiatric evaluation for an independent depressive illness and may require anti-depressants or psychotherapy (eg cognitive behavioural therapy) for the same. In addition you need to remember that stress can precipitate migraine attacks and you need to learn stress management techniques from a psychologist. Hope you found the information useful.
Dr Sundar Gnanavel
Answered: Thu, 3 Jan 2013
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