Brief Answer:
Preventive medications should be started.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your mother's history and agree that she is suffering from chronic migraine with frequent headaches.

Giving pain killer injection is not the long term solution, as it would not prevent the headaches from occurring in the future.

The best treatment option for her is to start preventive medications, in order to reduce the severity and frequency of headaches. The good medications for this purpose are topiramate, flunarizine and beta blockers.

In addition, she can take rizatriptan tablet, as and when she gets headaches.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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Brief Answer:
Details are below.

Detailed Answer:
Thank you for getting back.

Topiramate can be taken once daily after breakfast. It is usually started at a dose of 25 mg once daily and can be increased every two weeks by 25 mg (to a maximum of 200 mg per day), depending on the response.

Flunarizine and beta blockers are needed, only if topiramate fails to prevent headaches.

Topiramate may cause mild weight loss of 1-2 kg and cause tingling of feet. In very rare cases, it may cause kidney stones (less than 1% of patients), otherwise, it is very safe.

Rizatriptan is used at a dose of 10 mg as and when there is headache (maximum two tablets per day, and upto four tablets per week). It is safe and has no side effects.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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