Hello My cousin 24 year/ female, medical student in India is suffering from migraine since 5 years, mainly b/ l occipital and temporal area Became daily headache since 2-3 years she was tried all classes of preventive and abortive medicines with no benefit, She received Botox infections 5 times, with each time relief for 10-15 days only Underwent pulsed Radio frequency ablation of B /L occipital nerve- no benefit Underwent phenol neurolysis -of B/l occipital nerves- no relief Underwent B/l occipital nerve decompression and b/ l zygomaticotemporal nerve resection-15 days back Now her headache severity reduced 30-40%, frequency reduced from 4 attacks per day to 2 attacks now, I want to ask about effective prohylactic drugs if any, she tried propranolol , topiramate and amitryptiline previously with no significant response, Right now she is taking amitryptiline 10 mg since last 1 week, Naratriptan works rarely, sumatriptan not works Plz suggest effective preventive and abortive medication for her Thank you
                                                        
                                                     
                                                    
                                                        
                                                            
                                                            
                                                            
                                                                posted on
                                                            
                                                                Tue, 4 Sep 2012 
                                                            
                                                            
                                                            
                                                            
                                                                
                                                                    
                                                                    
                                                                    Wed, 5 Sep 2012
                                                                    
                                                                    
  Answered on 
                                                                 
                                                                
                                                                    
                                                                    
                                                                    Thu, 6 Sep 2012
                                                                    
                                                                    
  Last reviewed on