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Have migraine. Prescribed Topiramate and amitriptyline. Safe?

I am suffering from migraine since few years. It has become severe these days 2-3 times a month and every attack lasts for 3-4 days. The doctor asked me to start the course on topiramate and amytriptyline tabs but I read some side effects of these medicines. I am already overweight . I am taking headset to relieve the headache but I am not sure how safe is it to take frequently. Please help. Is there any other safe medication to avoid these frequent attack? How often can I take headset?
Asked On : Sun, 29 Sep 2013
Answers:  1 Views:  114
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General & Family Physician 's  Response
Hi and thanks for the query,

I do think the drugs prescribed, for sure, as all drugs have side effects. but if not taken for long term management, the side effects could be very minimal, and taking the drugs as prescribed y your doctor, with a stringent follow up shall be my opinion.

However, there are other major drugs used in migraine management. If you have not tried selective serotonine reuptake inhibitors before, if might be worth trying. Discussing this with your doctor could be important. Persisitence of symptoms after appropriate treatment could mean there could be some other condition like cluster headache of tension headaches. Reevaluation after treatment could help.

I suggest you consult your primary care doctor and discuss proposed options. Kind regards and wishing you good health. Kind regards.

Bain LE, MD
Answered: Sun, 29 Sep 2013
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