Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

153 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for chronic migraine

Answered by
Dr. Neeraj Kumar


Practicing since :2006

Answered : 2263 Questions

Posted on Thu, 23 Mar 2017 in Headache and Migraines
Question: I've had chronic migraines for the last three years . I've been all types of medications . I'm allergic to Botox . The only relief I really get is to sleep it off with ibuprofen. I get more than 15 migraines a month . Two QME told me I'm pretty much permanent and stationary regarding migraines . To stay on ibuprofen since it's the only type of relief I get . Another neurologist from my retirement claim said I'm over medicated . That's the reason I have apt of migraines . I was in a car accident with concussion at work that's why I have migraines . I'm only on ibuprofen . He said I have rebound headaches . Aren't headaches and migraines different ? I'm not getting headaches I'm getting migraines . I also don't take ibuprofen daily it's as needed . Do you believe im getting rebound headaches ? Headaches don't come with migraine symptoms . I start vomiting , light sensitivity , memory loss . Do you believe ibuprofen is doing this to me ? I ve gotten off ibuprofen before and my migraines didn't go away
Answered by Dr. Neeraj Kumar 1 hour later
Brief Answer:
Follow advices as below

Detailed Answer:
I have gone through your question and understand your concern.
You are having chronic migraine. Sometimes overuse of pain killers leads to migraine with medication overuse headache.
The management of migraine is detailed below.
Precautions and prevention like timely breakfast and lunch, avoiding fasting, excessive tea, coffee or chocolates.
Avoiding any food triggers or bright sunlight.
Prophylaxis drugs like flunarizine, propranolol, topiramate, divalproate or amitriptyline can be used under Neurologist guidance.
The increase in dose is gradual.
Take minimal possible pain killers.
Hope you found the answer helpful
Dr N Kumar
Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  

Recent questions on  Amitriptyline

doctor1 MD

My bottle of 240 pro-red syrup is used for a cough. What is the shelf life, and what does the 240 stand for. The only medicene I can find that it list that it should not be mixed with is amitriptyline. I take Perphenazine/amitriptyline 2-25 at bedtime. Is this the same thing?

doctor1 MD

I am seeing a neurologist. I have migraine headaches,dizziness ,loss of cognitive skills , memory loss.I have had mri,mra,ct,halter monitor,and cognitive learning classes by a speech pathologist/therapist.I was on topamax 3times a day which gave me more migraines and throwing up.i am now on elavil .I am afraid to drive or go back to work because anything could happen at anytime.I am 57 yrs old 185 lbs at 5 6.this all started in October when I was walking my dog at night and I started to see flashing lights. I am now starting to have migraines again now what do I take or tests can I take.Could it be epilepsy or a tumor?

doctor1 MD

how long does it take to develop left atrial abnormality?, which is what patient s initial evaluation EKG showed. do EKG, with other labwork, to determine any underlying medical issues. can it be caused by a low dose of elavil after only 1.5 weeks?, don t believe it to be the elavil but want to make sure secondary to its known cardiac side effects. patient also history of chronic pain and long history prescribed opiates for that pain, and long history of insomnia

doctor1 MD

I have had these meds added to the mix within the last year, Cipralex 20mg, Elavil 75mg, gabapentin 900mg TID. I have been having problems with my memory , concentration, eye sensitivity to light. My question is are can any of these meds be causing these problems?

doctor1 MD

why do I get disoriented feeling with my anxiety? I have anxiety with my Hashimoto's but here lately I don't feel like I'm here at all since I've got off the coladapin. I get really confused don't feel like myself really disoriented at times I...

doctor1 MD

I have a problem between L2-3 . disc is worn out. I stretch all the time , have a inversion table. I am a bit overweigh. I'm a metal fabricator and lift all the time. I were weigh belts all the time when working or doing anything at home to...

doctor1 MD

hi, my wife is 48 years old and is a housewife. no children at home. for past 1 week she is facing major giddiness, severe headache , panic attack , depression and lack of sleep. i am her husband, travelling mostly for work. she was treated with...