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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Headaches Be Treated?

My 60 year old son is on many medications for migraine. He recently was in the ER where he had high blood pressure, and was given many different meds in the hospital but still has the headache. He was started on Lisinopril and Simvastatin and Hiprex and Norco for pain, plus the other meds he was taken. He has blacked out three times this morning. I think he may have interactions from the medications. He will not go back to the ER, he has been there many times and they never get rid of the headache, just give him strong meds which don t help YYYY@YYYY
Wed, 22 Aug 2018
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Neurologist,  's  Response
Hello,

This is a common problem in people with headaches. ER's typically do not work very well for the purpose treating underlying causes for something like a Headaches unless it is very obvious what may be causing the problem (e.g. trauma, meningitis, intracranial tumor, etc.). But they will prescribe medications which may relieve some of the pain and in the mean time patients themselves may be self treating and it becomes a vicious cycle until a condition known as medication overuse. Headache occurs which can lead to things such as passing out, etc. Your theory on interactions between medications may be spot on but what your son needs is to see a headache specialist (usually a neurologist) who understands and is used to treating such problems and who can offer him a solution of retiring his medications, working to discover the actual cause of the original headaches (not due to medication interactions and overuse) and then, prescribe a reasonable regimen OR make appropriate recommendations to changes to his diet, lifestyle, or even other medications being used to treat other problems while the patient gets on the road to recovery. Get him to a headache specialist/neurologist.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can Headaches Be Treated?

Hello, This is a common problem in people with headaches. ER s typically do not work very well for the purpose treating underlying causes for something like a Headaches unless it is very obvious what may be causing the problem (e.g. trauma, meningitis, intracranial tumor, etc.). But they will prescribe medications which may relieve some of the pain and in the mean time patients themselves may be self treating and it becomes a vicious cycle until a condition known as medication overuse. Headache occurs which can lead to things such as passing out, etc. Your theory on interactions between medications may be spot on but what your son needs is to see a headache specialist (usually a neurologist) who understands and is used to treating such problems and who can offer him a solution of retiring his medications, working to discover the actual cause of the original headaches (not due to medication interactions and overuse) and then, prescribe a reasonable regimen OR make appropriate recommendations to changes to his diet, lifestyle, or even other medications being used to treat other problems while the patient gets on the road to recovery. Get him to a headache specialist/neurologist. Hope I have answered your query. Let me know if I can assist you further.