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Suggest Treatment For Myofascial Pain Headache
Question: i had myofascial headache and several session of trigger point injections ...I am stressed , often anxious and sleep badly since almost 1 year . For sleep I usualy take Zolpidem ( mostly 1/3 or 1/2 is enough ) . After the trigger point injections my brain fog is gone , but I still have this tension in my head , not pain , just tension and some dizziness that makes me easy anxious again . Doctor gave me Ativan 0.5 mg and said I could sleep with that , but I still need to take the zolpidem . Last week , the doctor gave me Remerol 15mg Soltab , to take instead of Zolpidem . What I forgot is to tell him I took for almost 2 weeks some herbal supplement ( Amoryn ) that contains Hyperforin ( each capsule 18mg from 600 mg of St. XXXXXXX wort ) and 5 HTP ( 25 mg each capsule ) . I took mornings and evenings each one capsule . I stopped this supplement last Thursday morning I had the last capsule . I would like to ask if it is ok to take the Remeron now ( I am aware of serotonin syndrome ) . Additionally the doctor made an appointment for me to make a sleep study to see if my insomnia comes from OSA , could the Remeron influence the results of the study ?
Additionally , could this throbbing in my head really come from not sleeping properly , I mean OSA ?
It is very annoying to have this condition and I need a lot of effort to go to work .
I had a much weaker similar situation , and at that time all could be resolved with some Benzodiazems ( don't remeber which one ) .
What would you recommend for me ? can I use the Remeron , and could it help with my situation ? Or should I stay with just the Ativan ( if necessary , I did not take since yesterday morning , since I can handle the anxiety if I stay home and relax ) . I can do some sport and exercise without much problems , but the throbbing feeling and tension is just not reducing at the moment . Thanks and regards. XXXXXXX
Additionally , could this throbbing in my head really come from not sleeping properly , I mean OSA ?
It is very annoying to have this condition and I need a lot of effort to go to work .
I had a much weaker similar situation , and at that time all could be resolved with some Benzodiazems ( don't remeber which one ) .
What would you recommend for me ? can I use the Remeron , and could it help with my situation ? Or should I stay with just the Ativan ( if necessary , I did not take since yesterday morning , since I can handle the anxiety if I stay home and relax ) . I can do some sport and exercise without much problems , but the throbbing feeling and tension is just not reducing at the moment . Thanks and regards. XXXXXXX
Brief Answer:
Wait for at least 3 days to start Rameron to prevent any serotonin syndrome
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your concern. It appears that your problem of brain fog like feeling is most likely occurring due to improper sleep or non-refreshing sleep. Some times anxiety and tension cause individual to sleep less which further trigger anxiety and tension and a vicious cycle of tension-insomnia-tension is formed. So poor sleep could be the main reason for your tension and also headache. But whether OSA is cause of it cant be predicted at that time. After poly-somnography it can be ascertained.
You have stopped the St John's Wort and 5HTPn capsules last Thursday only and as per my opinion you should at least wait for 3 more days to start Rameron. Though at 15 mg doses the chances of Serotonin Syndrome are not very high still the doses can cause worsening of anxiety, dizziness and brain fog like situation.
Rameron can cause alteration of sleep architecture but no need to fear from that, just skip the dose on the day of your test. This would not hamper the results.
Till you start taking Rameron, please take Ativan (as per prescription) for sleep and tension on SOS basis.
I hope this helps you. Still have more doubts please ask again. Take care
Wait for at least 3 days to start Rameron to prevent any serotonin syndrome
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your concern. It appears that your problem of brain fog like feeling is most likely occurring due to improper sleep or non-refreshing sleep. Some times anxiety and tension cause individual to sleep less which further trigger anxiety and tension and a vicious cycle of tension-insomnia-tension is formed. So poor sleep could be the main reason for your tension and also headache. But whether OSA is cause of it cant be predicted at that time. After poly-somnography it can be ascertained.
You have stopped the St John's Wort and 5HTPn capsules last Thursday only and as per my opinion you should at least wait for 3 more days to start Rameron. Though at 15 mg doses the chances of Serotonin Syndrome are not very high still the doses can cause worsening of anxiety, dizziness and brain fog like situation.
Rameron can cause alteration of sleep architecture but no need to fear from that, just skip the dose on the day of your test. This would not hamper the results.
Till you start taking Rameron, please take Ativan (as per prescription) for sleep and tension on SOS basis.
I hope this helps you. Still have more doubts please ask again. Take care
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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