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

139 Doctors Online
Doctor Image
MD
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 migraine headaches

Answered by
Dr.
Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 1662 Questions

default
Posted on Wed, 6 Aug 2014 in Headache and Migraines
Question: migraines everyday. taking frova but doesn't always work. suggestions
doctor
Answered by Dr. Dariush Saghafi 1 hour later
Brief Answer:
Need to document headaches and their properties

Detailed Answer:
Good morning. My name is Dr. Saghafi and I would like to help you with your problem. My understanding is that you suffer from migraine headaches and have tried some medications without success. Currently you take Frova but are still experiencing breakthrough headaches, "...doesn't always work."

In order to get a much more precise idea of what you may need to do to make Frova work "better" for your headaches it will be necessary to keep careful track of your headaches and how they behave while you take your Frova as directed. By keeping a headache diary you will be able to track things such as duration of the headaches, intensity and disability ratings of the headaches, symptoms (e.g. nausea, vomiting, sensitivity to light and sound, etc.). You will also track EXACTLY how you are taking your medications so that your specialist can offer you suggestions on more selective timing of the medication so that it has a better chance of completely treating your headaches.

In addition, the headache diary will help understand just exactly HOW MANY headaches you are having so as to determine whether or not you may benefit from being on some form of preventative therapy which in and of itself may help reduce your migraine headaches which you are seeing as "breakthrough" episodes. As it is you state that you have headaches daily. Does that mean you take Frova daily? This is a problem and is against manufacturer's recommendations as to how the medication should be taken.

Therefore, please consider doing the following in order to help your neurologist or headache specialist guide you to a better regimen of medications or interventions for your headaches:

1. Consider obtaining either a headache specialist or neurologist who can follow your headaches if your primary doctor is not familiar with the details of how to instruct you on compiling data and then, analyzing the same in a headache log.

2. Obtain a headache log from your doctor (or the internet....there are many types) and start keeping strict track of as many parameters and symptoms of your headaches as possible until you next see your doctor. In other words, we want you to document a snapshot of what's going on NOW so that we can develop a baseline to work with which can be compared to future diaries once changes are implemented.

3. Timing of the Frova may be very important and helpful to how your headaches respond. Also, very importantly here is the fact you are having daily headaches. If you are using Frova daily then, you are already violating one huge edict in headache medicine which is "THOU SHALT NOT OVERUSE" any abortive medication. REASON? By using triptans (and that means FROVA) on more than 10 days per month for headaches the patient can actually BEGET more frequent headaches, more intense headaches, and worse than those would be more difficult to treat headaches.

Please let me know if you have any other questions that I may answer.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Migraine

doctor1 MD

I had an MRI which showed stable microvascular ischemia white matter changes without demylinization. I am a 34 year old, 284 lb woman with a hx of migraines with aura. The MRI was done because the aura prior to a migraine changed from the electrical current type to seeing tracers. For the past few months I have had chronic headaches, not just the hormonal migraines I typically see. I take Fioricet for my headaches because nothing else has seemed to work. I do not have high blood pressure or cholesterol issues despite being morbidly obese. I do not have pre-diabetes or other blood sugar issues. My mother has a hx of TIA s, diagnosed when she was 40. I am still waiting for a neuro appt because the neurologist wants to review all of my medical files before setting the appointment. 1. How does the radiologist know the changes are stable when I have never had these show up on an MRI before? 2. Could this be migraine related as opposed to TIA s? 3. What can I do to prevent the changes from becoming chronic?

doctor1 MD

I have had constipation from since I was a kid and now I am 30 years old I never paid that much attention to it but, Now it is impossible to go to the men's room I have to get an enama just to be able to feel lighter but its not a perminent solution, I have to drink litres of milk just to go to the men's room and some times it has bleeded from my anus, I have burps 24/7, I get migraines,headaches,my teeth are getting infected all tho I brush everyday, and I always have a craving for sugar and I was researching on the internet and the recent doctor told me that it seems like I have chronic fungal candida infections and now I am very worried about everything, What if this is dangerious or could this have been transfered to my child, Local doctors here can't seem to dignose me, I am always told i only have normal constipation, and the pills work but only till I am using the pills, if i don't take a pill a day I can't seem to go to the bathroom and my father had the same problems but he has passed away from cancer and i am extreamly worried please help me I need a professional advice, Thank You.

doctor1 MD

I take many medicines and 2 vitamins I also take large amount of e-lax. I have several health issues svt, chronic migraines, fybromyalga, arthritis, chronic pain, hormone replacement, bi-polar, pstd, several stomach ulcers, acid re-flux really bad, I m 42 white female 5 4 170 pounds have been in heart failure a few times. My question is this I bruise very easy and badly, my hair is falling out in hand fulls, I m retaining water, my bp has been 140 - 170 over 90 - 120 hrt 85 - 120 blood sugar in 90 s my heart lately has been doing like flip flops or skips a beat and beats really hard and I feel it in my neck like its gonna beat out of my neck and my lips. I m really starting to worry what is your thoughts on why or what or action to take please ty

doctor1 MD

I suffer from ear pressure and delayed response hearing and chronic neck discomfort - dizzy often and do not feel well - mother of 5 age 39 - teach pilates and aerobics - neck pain is long standing - over a year - no findings other than inflammation - concern is ear issue/base of head - when tilting head to the side I can feel drainage and maybe a brief sense of relief at the occiput- neck pops atleast 5 times a day(major pop occurs rt side) Dr. from 4 years ago found nothing on MRI except occasional retension cyst- dr. found on routinue heart monitor check that I have a slow heart - there is a prolonged QT ( I think he used the term that they see football players drop dead at this level! I was sent to a heart dr. who told me to quit working out! and placed me on a monitor that I had to call and report while waiting for 20min to report over five times a day - everytime I had an episode where I felt different -I have five children and busy life - so I gave up on the monitor and going back to the dr.- its been two years -used to have migraine visual loss and tingling - have not experienced in months! do have BP of usually 90/60 however latley have pre hypertension of 130/70 w/ pulseof 49 - can feel when I feel really bad - sides of neck will bugle and hurt - I swell alot and have indentions often from clothing etc. - my current weight is 128 thankyou for any help to guide me to the right dr.

doctor1 MD

Doctor, I have experienced some strangeness for two days now. I have had 2 TIA's in the past with slurred speech and numbness on the left side of my body. I awoke this AM with a numb arm on my right side. I have a headache now. I have symptoms of...

doctor1 MD

Recent visit 12-21 for headaches that I have for weeks they come and go for months at a time .they start in front and go around my head ,some nausea and ear pain or hot sensation around ears and floaters that make it hard to read or write .and...

doctor1 MD

We are wondering if my husband may have had a small stroke. Taken to the er with confusion loss of balance extremely high BP and migraine type headache. His BP meds have been adjusted but now his behavior has shifted. Very aggressive argumentative...