Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Migraine
Posted on
Mon, 6 Jul 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 6 Jul 2015
Answered on
Thu, 23 Jul 2015
Last reviewed on
Question : I have a couple of things going on. First, i havent had a migraine in a couple of years, but yesterday I had one at 11am, slept all day and when I got up and walked around a bit, I got another aura at 5:30pm, went through the 4 stages of a migraine all over again. I took the day off, looking to take some medication, but am concerned about anything I take reacting with the Prozac, Ativan, Thyroid, Cortef, Progesterone, Testosterone and DHEA I am already taking. I looked up taking Advil Migraine, but it said it reacts with the Prozac. What can I take/do?
Also, I went rafting XXXXXXX 27 and my hip hit a rock. It hurt for a few days, now, a week later, there is a 8 in by 4 in bruise, see photo. Since the pain has subsided, should I be concerned about it?
Also, I went rafting XXXXXXX 27 and my hip hit a rock. It hurt for a few days, now, a week later, there is a 8 in by 4 in bruise, see photo. Since the pain has subsided, should I be concerned about it?
Brief Answer:
Read below.
Detailed Answer:
I read your question carefully and I understand your concerns.
Now regarding treatment of migraine, unfortunately the main drugs to abort the pain which are non-steroid anti-inflammatory drugs (Advil), triptans and ergot derivatives all have potential interaction with Prozac.
So if looking for a interaction free product the only option left is acetaminophen. There are combinations with stronger potency like with caffeine (exedrin aspirin free) or with butalbital and caffeine (fioricet).
However, personally for an occasional use like in your case, I would go with Ibuprofen (Advil) honestly. Yes true that in combination with Prozac they increase somewhat each others effect which might be a problem in long term if you needed Advil daily, but for an occasional use I am confident it won't have any repercussions and it is a more proven drug for migraine. It is not a combination which is contraindicated, only cautioned to be monitored.
As for the bruise since you are not in any increasing pain which might indicate infection, I don't think you have reason to worry for now. Naturally it will take some weeks for the blood products to be absorbed, so the bruise will first start to change color and then diminish over the course of the next weeks.
I hope to have been of help.
Read below.
Detailed Answer:
I read your question carefully and I understand your concerns.
Now regarding treatment of migraine, unfortunately the main drugs to abort the pain which are non-steroid anti-inflammatory drugs (Advil), triptans and ergot derivatives all have potential interaction with Prozac.
So if looking for a interaction free product the only option left is acetaminophen. There are combinations with stronger potency like with caffeine (exedrin aspirin free) or with butalbital and caffeine (fioricet).
However, personally for an occasional use like in your case, I would go with Ibuprofen (Advil) honestly. Yes true that in combination with Prozac they increase somewhat each others effect which might be a problem in long term if you needed Advil daily, but for an occasional use I am confident it won't have any repercussions and it is a more proven drug for migraine. It is not a combination which is contraindicated, only cautioned to be monitored.
As for the bruise since you are not in any increasing pain which might indicate infection, I don't think you have reason to worry for now. Naturally it will take some weeks for the blood products to be absorbed, so the bruise will first start to change color and then diminish over the course of the next weeks.
I hope to have been of help.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
