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Suggest treatment for hemiplegic migraines

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Posted on Thu, 9 Oct 2014
Question: I've been diagnosed with Hemiplegic migraines. The last few days I've had nausea and headache..Yesterday, I had an attack with left-sided weakness. I live by myself and I would like to know what to do at home while I'm having these syptoms
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Answered by Dr. Ronald Schubert (1 hour later)
Brief Answer:
Hemiplegic Migraines can be treated with triptans

Detailed Answer:
Thanks for contacting HCM

I am sorry to hear that you are having hemiplegic migraines and that you are having them right now. In my procatice I see pateints with migraines and know that they can be very difficult to control. I notice in your list of medication that you are taking lamictal which is being used for bipolar but is alos helpful in treatment migraines. Lamictal is good for reducing the frequency of the migraine but not for the acute migraine.

For the acute migraine that is happening right now I have usually prescribed a triptan like Imitrex. This comes in different formulations including an injectable, nasal spray and a pill. I instruct my patient to take this medication at the very onset of the headache before it gets severe. Once the migraine is severe there is very little that can abort the headache. As you have already done getting into a dark room reducing light and any stimulus will help. If the headache still is bothersome you may need to be seen by a medical professional. Other injectable medication may help abort you headache and nausea.

Hope this answers your question. Please contact us again with your concerns.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Ronald Schubert (1 hour later)
I want to thank you for the advice..I'll contact my doctor to see if he'll prescribe Imitrex for me.
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Answered by Dr. Ronald Schubert (1 minute later)
Brief Answer:
Your welcome

Detailed Answer:
I hope my advice helped and that your doctor will consider treating your migraines with imitrex or another similar medication


Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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Suggest treatment for hemiplegic migraines

Brief Answer: Hemiplegic Migraines can be treated with triptans Detailed Answer: Thanks for contacting HCM I am sorry to hear that you are having hemiplegic migraines and that you are having them right now. In my procatice I see pateints with migraines and know that they can be very difficult to control. I notice in your list of medication that you are taking lamictal which is being used for bipolar but is alos helpful in treatment migraines. Lamictal is good for reducing the frequency of the migraine but not for the acute migraine. For the acute migraine that is happening right now I have usually prescribed a triptan like Imitrex. This comes in different formulations including an injectable, nasal spray and a pill. I instruct my patient to take this medication at the very onset of the headache before it gets severe. Once the migraine is severe there is very little that can abort the headache. As you have already done getting into a dark room reducing light and any stimulus will help. If the headache still is bothersome you may need to be seen by a medical professional. Other injectable medication may help abort you headache and nausea. Hope this answers your question. Please contact us again with your concerns.