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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Best Treatment For Migraines?

i take amitriptyline & Depakote to keek migraines away.Amitripyline is givng me problems with toooth decay.My dr's though is to give me more of the antiseizure drugs often used propylactically but I had a bad experience this weekd When I increased the depakote, I was constantly hungry and wanted to eat everything so I began putting on weight.So the next strategy wwas to take zonzamide which does not stimulate hunger; food acti\ually tastes bland, no
appetite but when I increased to 2 pills of zonisamade at first my appetite disappeared andmy mouth began getting blisters - painful in the mouth so I stopped. Blisteres very painful.I need prophylaxix meds for migraine (I take depakote 500 er and amitriptyline150 but the amitripytilin is giving me dental problems. How can I get off amitriptline .Increasing my depakote makes me put on a lot of weight
Wed, 12 Feb 2014
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Diabetologist 's  Response
hi there
read your query and this is a significant question
i wish you had mentioned the measures you took so far
anyways
i will answer assuming you were on medicines
and took no other precautions

i am also assuming that your neurologist is right about the diagnosis of migraine

you know the easiest way to avoid migraine is to avoid the trigger.
every migraine patient usually has a trigger- chocoloate, sunlight, lack of sleep, and sometimes even coffee. So the best thing is to avoid the trigger. very frequently, this itself brings down the incidence of migraine episodes.

now the best thing about migraine is that there are many drugs that can be used to treat migraine prophylactically. as you said this includes the antiepileptics. But you can try the lower medicines as well like propranolol, flunarizine etc

also, make sure that you do not have sinusitis or vision disorder. these also can masquerade as migraine. and besides a ct scan may be suggested to make sure there is no other symptom

personally i would have avoided amitriptiline and anti seizure drugs as far as possible. they have many side efects

I hope it answer you
Dr Saumya Mittal
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What Are The Best Treatment For Migraines?

hi there read your query and this is a significant question i wish you had mentioned the measures you took so far anyways i will answer assuming you were on medicines and took no other precautions i am also assuming that your neurologist is right about the diagnosis of migraine you know the easiest way to avoid migraine is to avoid the trigger. every migraine patient usually has a trigger- chocoloate, sunlight, lack of sleep, and sometimes even coffee. So the best thing is to avoid the trigger. very frequently, this itself brings down the incidence of migraine episodes. now the best thing about migraine is that there are many drugs that can be used to treat migraine prophylactically. as you said this includes the antiepileptics. But you can try the lower medicines as well like propranolol, flunarizine etc also, make sure that you do not have sinusitis or vision disorder. these also can masquerade as migraine. and besides a ct scan may be suggested to make sure there is no other symptom personally i would have avoided amitriptiline and anti seizure drugs as far as possible. they have many side efects I hope it answer you Dr Saumya Mittal