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What Causes Migraine While On Sibelium And Naxdom?

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Posted on Mon, 11 Sep 2017
Question: My father was admitted to hospital for dengue fever and got discharged today. His platelet count decreased to 30k and later started increasing and it was 68k when he got discharged.

He was complaining of severe headache while admitted and a neurologist came and tested and suggested a CT Scan brain and the report is attached for reference. It says Bulky cavernous sinuses. The doctor was not worried much about it and I just wanted another opinion on this.

He has migraine headache before dengue as well. Doctor told to wait and see for another 6 to 7 days for the headache to subside and if needed we can do the MRI later.

Current medication:
1. Sibelium 10 mg night once
2. Naxdom 250mg SOS after the platelet count increases to minimum 1 lac.

Please let me know your opinion on this.
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Nothing of serious concern

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
The CT abnormality is not significant.
No need of any more investigations.
Continue treatment for dengue only and additionally sibelium and Naxdom for pain once the platelet counts normalizes.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar (7 minutes later)
Thanks for the response.

Sibelium is advised to take from today itself. As mentioned earlier, his platelet count was 68k today morning and he has already taken one tablet and slept. Should I discontinue this tablet and start taking it after the platelet count improves may be after 2 to 3 days? Please suggest. Also, how long can he take this tablet?

Naxdom is anyways SOS and it is mentioned clearly to take it after the platelet count improves.
doctor
Answered by Dr. Neeraj Kumar (19 hours later)
Brief Answer:
Continue sibelium

Detailed Answer:
Hello,
Sibelium can be started now also.
Only naxdom should be avoided before platelet count reaches 1 lakh.
Wishing good health and early recovery.
Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Migraine While On Sibelium And Naxdom?

Brief Answer: Nothing of serious concern Detailed Answer: Hello, I have gone through your question and understand your concern. The CT abnormality is not significant. No need of any more investigations. Continue treatment for dengue only and additionally sibelium and Naxdom for pain once the platelet counts normalizes. Hope you found the answer helpful. Do get back to me for further information. Regards Dr N Kumar Neurologist