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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Medicine For Chronic Migraine?

hi, can you please tell me the latest painkillers and treatments for chronic migraines.ihave suffered with migraines for 52 years.i know about relpax and botox.is there anything new apart from these. thanks if there is a charge for this service,don t answer my question.
Thu, 11 Jun 2015
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  User's Response
Hello!

Thank you for your question. I understand your concern.

The old treatments I would mention antidepressants, beta-blockers, calcium channels blockers and antiepilepsy drugs.
Botox has also shown good results in repeated procedures.
The Federal Drug Administration (FDA) approved two new treatments that offer hope to migraine sufferers:

--Cerena Transcranial Magnetic Stimulator (TMS),
---Cefaly transcutaneous electrical nerve stimulation (TENS) device.

The Cerena TMS is the first FDA-approved device for people who experience migraines with aura and is used when a headache is starting. The device is held with both hands against the back of the head. The user then pushes a button to release a magnetic pulse to stimulate the occipital cortex (the part of the brain that processes visual information). The pulse stops or eases pain.
The Cefaly transcutaneous electrical nerve stimulation (TENS) device provides preventive treatment. Used once a day, it can reduce the number of migraine pain days per month. TENS is a technology that has long been used to treat general pain but this is the first device approved as a preventive measure for migraines. The Cefaly is a portable, battery-powered plastic headband.

Another new treatment option is the intranasal sphenopalatine ganglion block. It involves administering 4 percent lidocaine through the nasal passage to the bundle of nerves (sphenopalatine ganglion) just behind the nose that are associated with migraine pain.

Hope to have been helpful!

Greetings! Dr. Aida
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What Is The Best Medicine For Chronic Migraine?

Hello! Thank you for your question. I understand your concern. The old treatments I would mention antidepressants, beta-blockers, calcium channels blockers and antiepilepsy drugs. Botox has also shown good results in repeated procedures. The Federal Drug Administration (FDA) approved two new treatments that offer hope to migraine sufferers: --Cerena Transcranial Magnetic Stimulator (TMS), ---Cefaly transcutaneous electrical nerve stimulation (TENS) device. The Cerena TMS is the first FDA-approved device for people who experience migraines with aura and is used when a headache is starting. The device is held with both hands against the back of the head. The user then pushes a button to release a magnetic pulse to stimulate the occipital cortex (the part of the brain that processes visual information). The pulse stops or eases pain. The Cefaly transcutaneous electrical nerve stimulation (TENS) device provides preventive treatment. Used once a day, it can reduce the number of migraine pain days per month. TENS is a technology that has long been used to treat general pain but this is the first device approved as a preventive measure for migraines. The Cefaly is a portable, battery-powered plastic headband. Another new treatment option is the intranasal sphenopalatine ganglion block. It involves administering 4 percent lidocaine through the nasal passage to the bundle of nerves (sphenopalatine ganglion) just behind the nose that are associated with migraine pain. Hope to have been helpful! Greetings! Dr. Aida