Suggest treatment for acute migraine attacks

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Posted on Tue, 16 Jun 2015 in Brain and Spine
Question: Hi, my husband is having severe migraine, he has taken naxdom and ezact but it's not helping, what should we do
doctor
Answered by Dr. Sudhir Kumar 40 minutes later
Brief Answer:
Zolmitriptan nasal spray can be used.

Detailed Answer:
Hi,

Thank you for posting your query.

For acute migraine attacks, zolmitriptan nasal spray (Zolmist) is effective. If this also does not work, then, it is better to take him to the emergency room and get a tramadol injection administered.

Subsequently, a preventive treatment should also be started to prevent the headaches in future.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Sudhir Kumar 43 hours later
How nasal spray will help migrane
doctor
Answered by Dr. Sudhir Kumar 10 minutes later
Brief Answer:
It gets absorbed and reaches brain.

Detailed Answer:
Thank you for getting back.

Zolmitriptan nasal spray gets absorbed in nose and reaches brain to have effect in migraine.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar 3 minutes later
Thanks for the reaponse, very helpful, he is better now, next time if he gets migrane attack should he straight way take this nasal spray or should it been used only in extreme cases? Also, which medicines do you reommed?
doctor
Answered by Dr. Sudhir Kumar 2 minutes later
Brief Answer:
It can be used straight away.

Detailed Answer:
Thank you for getting back.

Zolmitriptan nasal spray can be taken straightaway when there is migraine headache.

Also, if he gets frequent headaches, he should be on preventive medications such as propranolol or topiramate tablets to reduce the frequency and severity of headaches.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 5945 Questions

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