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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest cause & medications for migraine with pain in arm

Hi Dr. Samuel, I have been suffering from migraine headaches for just over a month, now i am having a throbbing pain right down the right arm to my hand and at times feels dead. what can be causing these as i have no answers from the emergency depart which also will not run any test
Mon, 30 Sep 2019
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Neurologist 's  Response
Hello,

First of all, some medications for migraine cause the blood vessels to contract, resulting in decreasing blood supply to other body parts.

You should stop them and think about a prophylaxis such as Amitryptaline 25 mg,you should start with half a tablet before bedtime for three days, then you can add half a tablet every three days in the same time until 50mg once or you can use Propranolol one tablet in the morning then you can increase the dose every 2 days to reach 80 mg in four divided doses every day.

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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