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Chronic headaches,mood swings - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi, is there a prescription drug available to decrease mood (opposite of anti-depressor). Reason for this; I have noticed my muscle contraction headaches are better following periods of sadness and depression and worse following periods of excitability like with happy/positive moods or moods of energy. I have also noticed my headaches are worse after taking anti despressor pills but sort of improved with alcohol (more like a cover-up effect, but its on the good side of things)
Doctor :   Hi
Doctor :   May I know your age and gender?
Doctor :   Since when have you noticed such headaches?
User :   I am 28, male. Had the headache for 6 years now
Doctor :   Can you describe the headaches?
Doctor :   Are you on any regular medications?
User :   It began as pressure in the middle of my forehead and later became a pulling tightness across the fron-top part of my head
User :   No regular meds.
Doctor :   Are you still on the antidepressant pills?
Doctor :   If so, can you name those pills?
User :   No. It was only a test. And it has the opposite effect of what I am after so I haven't continued.
User :   Endep
Doctor :   Ok
Doctor :   How frequent are these headaches?
User :   All day everyday
Doctor :   Do you have any other medical problems such as hypertension/sinusitits?
Doctor :   Do you smoke?
User :   No
User :   No
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Your description of headaches are consistent with those of tension headaches, which are one among the causes for chronic headaches.
Doctor :   Yes, there are medication which can control these headaches,
Doctor :   The come in different varieties. Commonly used drugs belong to
Doctor :   amitriptyline group of drugs, some of the anticonvulsant drugs and so on.
Doctor :   Since these medications have side effects and its dose needs to be monitored,
User :   Isn't endep amtitriptyline?
Doctor :   its not ethical that I suggest those medications online.
Doctor :   Yes, endep are antidepressant medications, but its dose is much smaller when used for the treatment of chronic headaches.
Doctor :   Let me suggest you few measures that should be help you.
User :   Dont suggest or recommend, just state.
User :   Doctor, please stick to my original question. I have had these for 6 years, there is nothing you can suggest to me that I haven't already tried
User :   So please if you will, just answer my original question and pre-lude with advice against using the medication for medico-legal reasons
Doctor :   If you are specifically looking for the names of prescription medications, I cannot suggest those online, due to the reasons, I have mentioned.
Doctor :   It against my ethics to suggest you those.
User :   Can you suggest an online resource for me? I am desparate.
Doctor :   Prescription medications cannot be suggested online, you will have to consult a doctor- neurologist, who will be able to prescribe you the medications.
User :   And out of curiosity, what type of condition uses those sorts of medications?
Doctor :   you to consult a neurologist,
Doctor :   Chronic headaches are one class of entity
Doctor :   which can be controlled with proper medications, lifestyle modifications, good nutrition and proper stress management.
Doctor :   Since you are on some measures, continue the same.
Doctor :   Consult a neurologist, who will help you in obtaining one of the prescription drugs.
User :   I am on no measures. Nothing has worked for me
Doctor :   They are effective in controlling the headaches.
Doctor :   The drugs will definitely help you.
Doctor :   You will need to consult a neurologist physically.
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