Hello Doctor, My name is Mr.Faysal 45 yrs old. I have Headache and when effect the pain moving around the head. It s 2-3 times a month specially when I go to the out side visit or travelling. Some time my head feels too weighty and if I down the head my face swelling. In night I could not sleep well. I can t go far from tension. Sometimes vomiting tendency once headache then I m scared as bcz it effect to the brain and I m expecting to sense less as bcz four years ago I had fall down in the toilet and sense less. This kinds of happen total tree times. I m not feeling energetic and some times memory loss. I have consulted neuroscience physician and he advised me to take Tab Migrabeta TR 40 1+0+0 Tab Amitriptyline 0+0+1 But, after taken this medicine I m feeling so tired so can t official work properly. Kindly advise. Thank you in advance.
I read carefully your question and understand your concern!
Your symptoms seem to be related to migraine and tension type headache. The fainting and loosing your conscience may be related to a low blood pressure.
Amytriptiline and Migrabeta can lower your blood pressure more. This effect may be the cause of your tiredness and decrease in your everyday performance.
I would recommend you to stop amytriptiline and migrabeta and switch into another treatment with a SSRI antidepressant like sertraline or paroxetine.
I would also advise you to perform a routine blood test for anemia (which can cause fatigue) and regularly monitor your blood pressure. A head Up Tilt test may be necessary to exclude a possible orthostatic hypotension.
Hope to have been helpful!
Greetings! Dr. Aida
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What Causes Headache?
Hello! I read carefully your question and understand your concern! Your symptoms seem to be related to migraine and tension type headache. The fainting and loosing your conscience may be related to a low blood pressure. Amytriptiline and Migrabeta can lower your blood pressure more. This effect may be the cause of your tiredness and decrease in your everyday performance. I would recommend you to stop amytriptiline and migrabeta and switch into another treatment with a SSRI antidepressant like sertraline or paroxetine. I would also advise you to perform a routine blood test for anemia (which can cause fatigue) and regularly monitor your blood pressure. A head Up Tilt test may be necessary to exclude a possible orthostatic hypotension. Hope to have been helpful! Greetings! Dr. Aida