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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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One Sided Headache For Years. Taken Brufen And Tynol Initially And Elavil At Present. How To Handle Pain Due To Stress?

Hi I am Nitin and had been suffering from one sided headache for many years, initially just brufen , tynol was the help but now I feel I used to get in panic situation and was unable to handle pressure and that used to trigger the headache. Nowadays situation has worsened and after a trigger headache used to remain for 6-7 days. Last week visisted to Dr and he prescribed me Elavil 10 mg , that was the really good help but when yesterday I was under stress due to sudden work load I got worried and headache started I took this medicine, it was a little help as I could survive the night but in the morning but it was still active in the morning and in the office wholeday was tough to me and negative thoughts were dominating. Sir pls suggest how to handle this repetitive problem it hurts me grow in career as well.
Pls suggest...Regards Nitin
posted on Tue, 29 Oct 2013
Twitter Tue, 29 Oct 2013 Answered on
Twitter Tue, 29 Oct 2013 Last reviewed on
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Addiction Medicine Specialist,  's  Response
Hi Nitin,

Elavil (Amitryptiline) works as a prophylactic agent for both migraine and tension type headache. Both types of headaches can be triggered by stress. Elavil gradually reduces the frequency and intensity of the episodes of headache, but once an episode starts, Elavil cannot reduce the pain and you need to take a painkiller for that. Since it has been just a week since Elavil was started, you need to continue it for a few months to allow it to show its full response. The dose of Elavil may also need to be increased for better response. Please continue with Elavil and see your doctor regularly. You will notice a gradual improvement, with headaches reducing in both frequency and intensity.

Hope this helps you. Best wishes.
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General & Family Physician,  Dr. Veera Raghava Rao Buddha.'s  Response
Hi, Nitin, as you describe it appears to be the head ache due to the anxiety, sinusitis, migraine, hypertension, or due to some change in the brain. so i advise you to consult a neurologist for diagnosis and treatment.
I to my patient with such head ache prescribe alprazolam, for 3 months, and pain killers when ever necesory, till the neurological problem is excluded. Thank you.
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One Sided Headache For Years. Taken Brufen And Tynol Initially And Elavil At Present. How To Handle Pain Due To Stress?

Hi Nitin, Elavil (Amitryptiline) works as a prophylactic agent for both migraine and tension type headache. Both types of headaches can be triggered by stress. Elavil gradually reduces the frequency and intensity of the episodes of headache, but once an episode starts, Elavil cannot reduce the pain and you need to take a painkiller for that. Since it has been just a week since Elavil was started, you need to continue it for a few months to allow it to show its full response. The dose of Elavil may also need to be increased for better response. Please continue with Elavil and see your doctor regularly. You will notice a gradual improvement, with headaches reducing in both frequency and intensity. Hope this helps you. Best wishes.