Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
173 Doctors are Online

Suffering from hemicrania continua. Treated for continuous migraines. Developing intolerance towards medicines. Suggestions?

Hi, my daughter is 14 and suffering from hemicrania continua . She was treated for continuous migraine for several months and was given many different preventatives . None helped, most made it worse. Indomethacin was like a miracle, but she seems to build a tolerance to it. It works great for about 2 weeks, then is less effective. She is now on 75 mg 4 times a day, and it is becoming less effective each day. She is also on verapamil 240 mg once a day, it is not helping, just makes her dizzy and nauseous. She also takes omeprazole , carafate, and zofran for her stomache. Iron for anemia. And melatonin to help her sleep, 6 mg I think. What can we try next? Occipital nerve block?
Asked On : Sun, 31 Mar 2013
Answers:  1 Views:  102
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics
Neurologist 's  Response

Thanks for the query,

Basically there are two types of hemicrania continua 1. Primary- no cause can be found out 2. Secondary- to some problem in the brain. I feel that your daughter needs a MRI scan of the brain to rule out secondary causes which can mimic hemicrania continua. Topiramate is the other medication that may be tried if MRI scan comes out as normal. Generally verapamil may not help and may be withdrawn. If all these procedures and plans fail, you may consult a pain physician who will help you in other interventional methods pf reducing pain like Occipital nerve block.

Hope this clarifies
Best wishes
Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy)
Consultant Neurologist and Epilepsy specialist
Narayana Hrudayalaya Hospital, Bangalore
My Blog in the Web site:

Answered: Tue, 2 Apr 2013
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor