HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Chronic Headache

Dear sir, My Mother is suffering from headache from last 5 years. She will get headache severely for 2-3 days every 10-15 days. She has neeb administered with amit 10 mg 1/2 tab every evening, divuna er250mg every night and naxdom when pain comes. Please comment us
Wed, 21 Aug 2019
Report Abuse
Neurologist,  's  Response
Hello,

I believe your mother's doctor should consider improving the prophylactic power of the AMITRIPTYLINE by increasing her dosing to the following regimen which we commonly employ in the Headache Clinic practice and that is to actively UPTITRATE that medication by 10mg. weekly to be taken only at BEDTIME to a maximum of 50mg. nightly.

If she is only getting 5 mg. as you suggest then, this is an extremely small and likely ineffective dose for her headaches and this may be why she's not adequately responding.

I will also make the recommendation that if your mother complains of side effects using amitriptyline that she is switched over to NORTRIPTYLINE as this seems to be much more tolerable as we titrate upward in higher doses than amitriptyline.

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

Take care

Regards,
Dr Dariush Saghafi, Neurologist
I find this answer helpful
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]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Chronic Headache

Hello, I believe your mother s doctor should consider improving the prophylactic power of the AMITRIPTYLINE by increasing her dosing to the following regimen which we commonly employ in the Headache Clinic practice and that is to actively UPTITRATE that medication by 10mg. weekly to be taken only at BEDTIME to a maximum of 50mg. nightly. If she is only getting 5 mg. as you suggest then, this is an extremely small and likely ineffective dose for her headaches and this may be why she s not adequately responding. I will also make the recommendation that if your mother complains of side effects using amitriptyline that she is switched over to NORTRIPTYLINE as this seems to be much more tolerable as we titrate upward in higher doses than amitriptyline. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist