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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Cluster Headache?

I ve had cluster headaches for upwards of 40 yrs. I m male, 74, 80Kg. Generally good health. Sessions usually every 12 to 18 months, last 2 to 6 weeks, take half a 50mg Sumitriptan gives relief for 12 to 24 hrs. Sometimes 3 x 500mg Paracetomol helps if taken early but only lasts for few hours. This session noticed frequency and quantity of urinating, no pain on urinating but this time only have noticed a strong but not objectionable urine smell. ? UTI ?
Wed, 27 Nov 2019
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Neurologist,  's  Response
Hello,

First of all, Sumatriptan should be used once to abort the attack,then you should take Indomethacin 25 mg three times per day after meals for 2 days,then 50 mg three times after meals for 2 days, then 75 mg three times after meals for 2 days, finally, 100 mg three times per day after meals.

Second, you should do routine investigations such as measuring blood pressure and do an CT Brain to exclude a focal brain lesion.

The dose of paracetamol could affect the liver functions, besides paracetamol is not suitable for your case.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dr/Mustafa, Neurologist
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How To Treat Cluster Headache?

Hello, First of all, Sumatriptan should be used once to abort the attack,then you should take Indomethacin 25 mg three times per day after meals for 2 days,then 50 mg three times after meals for 2 days, then 75 mg three times after meals for 2 days, finally, 100 mg three times per day after meals. Second, you should do routine investigations such as measuring blood pressure and do an CT Brain to exclude a focal brain lesion. The dose of paracetamol could affect the liver functions, besides paracetamol is not suitable for your case. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist