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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Migraine Be Treated?

What is the typical therapeutic follow-up program to be ordered for a 38 yoa male, chronic migraine sufferer, at the time of discharge with first administration of Imitex, 6mg po. qd, as discharged from ER. Treatment with Imitrex, IM at time of acute presentation. Pt meds were not affordable, so never proceeded with orders. Thank you for your consultation. This case proceeded 24 yrs ago and was only discovered through his roommate bringing his located med records, this week. Beverly J Cole, ret EMT, athletic medic, CMAT/CNA
Thu, 24 May 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications, opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there wont be improvement it would be good to do MRI scan and have neurological exam.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Severe Migraine Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications, opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there wont be improvement it would be good to do MRI scan and have neurological exam. Hope I have answered your query. Let me know if I can assist you further.