Migraine

Author: Dua     Published: 2 years ago 1 Replies

AOA Doctor. I have frequent migraine headaches with nausea. I have noticed that the frequency of attacks have been increasing. what should I do for it?

Prevention of migraine attacks, also called Migraine prophylaxis, is indicated in the following group of patients:

  • Frequent Migraine Attacks ( Usually greater than four migraine attacks per month)
  • Severe episode lasting more than twelve hours per attack
  • Migraine with weakness or infarction (stroke-like symptoms), also called hemiplegic migraine and basilar migraine.

Different medications are used for the prophylaxis of migraines. Here are some guidelines that can help you choose for yourself the best prophylactic medicine for migraine:

  • If you are younger than 60 years of age and have palpitations or hypertension, use a beta-blocker
    • Metoprolol 50 mg once or twice daily
    • Propranolol or Inderal 20 to 40 mg twice or thrice daily
    • Timolol 5 mg once daily
    • Atenolol 25 to 50 mg once daily
  • If you are older than 60 years of age or have a chronic lung disease like asthma or COPD, use Flunarizine or verapamil
  • If you have insomnia, you can start amitriptyline
  • If there is concomitant depression, it is best to start venlafaxine (or amitriptyline)
  • If you have a seizure disorder, you can start topiramate or valproic acid

Other newer drugs that are not yet freely available inhibit the calcitonin gene-related peptide. These include:

  • Erenumab,
  • Fremanezumab,
  • Galcanezumab,
  • Eptinezumab, and
  • Rimegepant.

What should you do?

If you fall in any of the groups mentioned above, you may choose a prophylactic medicine based on your comorbid condition. For young people, propranolol and amitriptyline are usually preferred. However, Sibelium (Flunarizine), verapamil, and topiramate are other alternative medicines you can use. It is best to keep valproic acid down the list unless advised by your physician.

Dr. Ahmed Farhan, 2 years ago

Login to Reply

Money Back Guarantee
We return Money in 24 Hours

Secure online payment
We possess SSL / Secure Certificate

12/7 customer support
Well-trained & Supportive team

PMDC Verified Doctors
Authentic & updated information

emedz.net

Book Online and In-clinic appointment with your doctor. Consult via Video chat and get a prescription. Ask any question in the "Forum" section and get a detailed answer. Discuss your health issues.

Connect with us

Copyright @ 2024 - All Rights Reserved Reproduction of material from any pages without permission is strictly prohibited.