Suggest Treatment For Migraine

Posted on Thu, 11 Jun 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 11 Jun 2015 Answered on

Thu, 2 Jul 2015 Last reviewed on

Question : Hi!!sir what is the best treatment for migraine?beta blockers or Calcium channel blocker?how long the prophylaxis should be!i experienced my first major migraine attack 2 weeks ago I visited doctor 5 days back and he suggested me ciplar la 20 mg and flunarazine 10 mg at nite!i just wanted to go with one choice of drug! Help me and suggest me?

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Here follows:

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

In this situation,you can start with either of the two as both are just the basic dose strength first line prophylactic drugs.Observe the response-if no adequate response with one drug,its dose can be increased and if still no response,it can be substituted with another drug.So,its a kind of hit and trial.

Prophylaxis should be continued till good control is achieved(may be 1 to 2 months) and then a tapering of the drug may be attempted.

If you have any further queries,I shall be glad to answer.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (28 minutes later)

Propanalol should be taken empty stomach in morning or after having break fast?

Answered by Dr. Ajay Panwar (6 hours later)

Brief Answer:
Same time everyday,either way.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
There is no such specification for propranolol.
You have to take it same time everyday,empty stomach or with food.
Usually in clinics,I ask my patients to take it empty stomach in the morning everyday.

Hope that I have answered your query.If you have further questions,I shall be glad to answer else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (13 hours later)

Sir it is true that migraine also affects immunity??

Answered by Dr. Ajay Panwar (53 minutes later)

Brief Answer:
Not really.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

May be you have read somewhere but it is not a scientific fact.Migraine does not really affects immunity.

Hope that I have answered your query.If you have further questions,I shall be glad to answer else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (2 hours later)

Is it normal that nausea remain after the headache is over because of nausea like sypmtoms it reduces the normal appetite!is prophylaxis also help in reducing the nausea??

Answered by Dr. Ajay Panwar (56 minutes later)

Brief Answer:
Prophylaxis reduces nausea as well.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

Yes,in some patients nausea may extend for some period after the headache has resolved.

Surely,prophylactic medicines help in reducing nausea as well,as it is the part of symptomatology of migraine episode.

Hope that I have answered your query.If you have further questions,I shall be glad to answer else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar