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Suggest Treatment For Migrane

Posted on Mon, 7 Apr 2014

Question: My Wife of 32 yrs old suffering from Migrane almost 4 days running. She had taken vasograin one Please advice

Answered by Dr. Sudhir Kumar (54 minutes later)

Brief Answer: Following medications would help her: Detailed Answer: Hi XXXX Thank you for posting your query. I have noted that your wife has migraine, and the current episode of headache has gone on for four days running! She can take Rizatriptan tablet for pain relief. I usually give a dose of 10 mg. If that does not help, then, she can go to a nearby clinic and take tramadol injection. In addition, she should also be on preventive medications to reduce the severity and frequency of headaches. Options include flunarizine, propranolol or topiramate tablets. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/

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

Follow up: Dr. Sudhir Kumar (25 minutes later)

Thank doctor pls provide some alternative medicine aa prescribed medicine is not available in store

Answered by Dr. Sudhir Kumar (35 minutes later)

Brief Answer: Alternative medicines are below: Detailed Answer: Rizatriptan- Rizact, Ritza. Tramadol- Tramazac Flunarizine: Sibelium, Fluner. Propranolol: Ciplar-LA, Betacap-TR, Inderal Topiramate: Topamac, Topaz, Topirol. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (3 hours later)

Thanks Doctor. I went to visit a renounced hospital(Emergency ward) where they have also given the same medicine as you also prescribed: 1. Tramadol 2. Emeset She had taken the injection almost at 4:30pm. after that she had taken complete rest seeping in dark room. but she is saying the pain did not reduce. The pain is almost similar as it was in 4:30pm that is before the medicine had taken. Pain is concentrated on Right side of the forehead down to Side of the Eye. Would you suggest out any remedies or further Action/Guidance.

Answered by Dr. Sudhir Kumar (35 minutes later)

Brief Answer: Steroid injections may be tried. Detailed Answer: Thank you for getting back. The next step would be to use steroid injection, such as dexamethasone, which can be injected in the vein. This is stronger than tramadol injection. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

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