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Dr. Andrew Rynne
Dr. Andrew Rynne

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Suggest treatment for hemiplegic migraines

Answered by
Dr. Olsi Taka


Practicing since :2004

Answered : 3650 Questions

Posted on Tue, 11 Aug 2015 in Headache and Migraines
Question: Since the age of 13, ive suffered hemaplegic migraines. Yesterday i had a severe migraine attack and have not had one like this for several years (i am 31 and female).
Sensation in my arm and face has returned and i have full
Mobility but headache is still severe and i feel very weak. Neurologist says high dose asprin best but its not working. What medications do you reccomend? I havent seen neurologist for three years and wonder if there are new medicines
Answered by Dr. Olsi Taka 53 minutes later
Brief Answer:
No new medication for this type of migraine.

Detailed Answer:
I read your question carefully and I am sorry about the symptoms you are experiencing.

Hemiplegic migraine is a special variation of migraine. For classic migraine attacks there are effective drugs like triptans and ergotamine derivatives. Unfortunately for hemiplegic migraine the use of these drugs is contraindicated because they constrict blood vessels and there is fear of causing a stroke.
So we are still a little limited in the drug use, what are used are non steroid antiinflammatory drugs (aspirin, ibuprofen, naproxen etc) and if those are not effectife antiemetics (metoclopramide, prochlorperazine) or opiates.

If attacks become frequent we can discuss preventive treatment, but this doesn't seem to be your case.

I remain at your disposal for further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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