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What are the side effects of migraine related medicines ?

Hi my name is Harpreet Singh, 41 yrs old, I get migraines due to gas or at times due to heavy running/exercise and also if i take drinks, I take vesograin and xenobid for the same on SOS basis, during migraine i do not feel vomiting but if the medication is not taken the pain gets unbearable, am i taking the right treatment or should i have to change as i do not know the side effects of vesograin.
Asked On : Sat, 14 Apr 2012
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General & Family Physician 's  Response
Hello Harpreet,
Migraine can be precipitated by strenous activity or Alcohol as in your case. Abortive treatment is more effective when the medications are taken early in course of the headache and a large single dose is better than taking multiple small doses.
Xenobid(naproxen) & Vasograin (ergotamine + caffeine + paracetamol + prochlorperazine) is effective for abortive treatment of Migraine. But if you get headaches for more than 10days in a month its better to switch to Prophylactic treatment(regular medications to prevent migraine) and to prevent rebound headache or Medication overuse headache.
Some of the side effects of Ergotamine include vascular occlusion and rebound headache and should be avoided in patients with history of coronary artery disease, peripheral vascular disease, hepatic and renal disease as it causes prolonged vasoconstriction.
If your headaches get frequent you can discuss with a Neurologist the need for starting Prophylactic treatment.
Hope this answers some of your questions.
Answered: Sat, 14 Apr 2012
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