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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache While Having Systemic Lupus Erythematosus

MY DAUGHTER WHO HAS SYSTEMIC LUPUS SINCE LAST YEAR, NOW 19 YRS OLD, HAS HEADACHES CONTINUALLY SINCE PAST 10 MONTHS. TOPAMAX DID NOT HELP, NOR NSAIDS. NOW HAS BEEN ON INCREASING DOSES OF ELAVIL, AS PER NEUROLOGIST. STILL NOT HELPING- ON 50 MG NITELY. MRI NEGATIVE. THINKING OF TAKING HER TO A HEADACHE CLINIC???
Mon, 25 Mar 2019
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General Surgeon 's  Response
Hi,

The symptoms are consistent with common causes like migraine or tension headache, as a first line management you can try analgesics like Aceclofenac or Tramadol for pain relief.

If symptoms persist, better to consult a neurologist and plan for an MRI brain to rule out possible intracranial (inside the brain) causes.

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

Regards,
Dr. Shinas Hussain,
General & Family Physician
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Suggest Treatment For Headache While Having Systemic Lupus Erythematosus

Hi, The symptoms are consistent with common causes like migraine or tension headache, as a first line management you can try analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist, better to consult a neurologist and plan for an MRI brain to rule out possible intracranial (inside the brain) causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician