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Suggest Treatment For Chronic Migraine
Question: i have migraine since 30 years. i consulted nerolists. 2years i took flunarinze then 3years
i took topomac 100mg. but all these no effect. when ever i get headache i should take 1 or 2 imol tabs.(paracetomol and ibrufen). creatinine level is 0.9. suggest me what to do. since 15 days i am taking epilux chrome 200mg but finding lot of side effects.
i took topomac 100mg. but all these no effect. when ever i get headache i should take 1 or 2 imol tabs.(paracetomol and ibrufen). creatinine level is 0.9. suggest me what to do. since 15 days i am taking epilux chrome 200mg but finding lot of side effects.
Brief Answer:
Take treatment and steps as advised
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Chronic migraine is difficult to manage.
First step is to have lifestyle modifications. Avoid fasting, stress, excessive coffee or tea. Take timely meals and adequate sleep.
For treatment propranolol and divalproate can be used if Flunarizine and Topiramate has been used already.
Sometimes, excessive use of pain killers may lead to medication overuse headache and needs to be managed by stopping all pain killers and a short course of steroids.
Amitryptiline can also be added at night for migraine, anxiety and proper sleep.
Relaxation exercises and yoga can also be tried.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Take treatment and steps as advised
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Chronic migraine is difficult to manage.
First step is to have lifestyle modifications. Avoid fasting, stress, excessive coffee or tea. Take timely meals and adequate sleep.
For treatment propranolol and divalproate can be used if Flunarizine and Topiramate has been used already.
Sometimes, excessive use of pain killers may lead to medication overuse headache and needs to be managed by stopping all pain killers and a short course of steroids.
Amitryptiline can also be added at night for migraine, anxiety and proper sleep.
Relaxation exercises and yoga can also be tried.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Answered by
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