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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Reoccurring Severe Migraines

I have a 15 year old daughter that has a terrible migraine and we have tried everything to make it go away. She has tried all the over the counter medications and dark room with cold cloth on her head. She even had a Lortab 10 mg left from when she had her wisdom teeth taken out a couple of months ago and took half of it. Is there anything else that I can do to help her. Her doctors office doesn t open until morning and she has had this all day and gets them often. Thank you.
Thu, 16 Apr 2015
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Neurologist,  's  Response
Hello !
I read your question and understand your concern.
If her migraine attacks are so severe I would recommend a prophylactic treatment to prevent most of attacks or decrease their frequency.
Taking into consideration her age I would prefer treatment with propranolol, a beta blocker very effective for migraine in young women. It can cause bradycardia , so it should be started slowly.
Topiramate would be very effective to prevent migraine attacks. It is an antiepileptic drug very effective in migraine.
For the attack I would recommend Risatriptan or Sumatriptan.
These drugs should be given under neurologist prescription.
For over the counter drugs, have you tried Indomethacine ? It can cause pain relief.
I would recommend bring her to the emergency room if the pain is very severe and lasting more than 72 hours.
Another advise I would give is to avoid some food that may trigger migraine attacks like chocolate, alcohol etc.
Hope to have been helpful!
Best wishes, Dr. Abaz Quka
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Suggest Remedy For Reoccurring Severe Migraines

Hello ! I read your question and understand your concern. If her migraine attacks are so severe I would recommend a prophylactic treatment to prevent most of attacks or decrease their frequency. Taking into consideration her age I would prefer treatment with propranolol, a beta blocker very effective for migraine in young women. It can cause bradycardia , so it should be started slowly. Topiramate would be very effective to prevent migraine attacks. It is an antiepileptic drug very effective in migraine. For the attack I would recommend Risatriptan or Sumatriptan. These drugs should be given under neurologist prescription. For over the counter drugs, have you tried Indomethacine ? It can cause pain relief. I would recommend bring her to the emergency room if the pain is very severe and lasting more than 72 hours. Another advise I would give is to avoid some food that may trigger migraine attacks like chocolate, alcohol etc. Hope to have been helpful! Best wishes, Dr. Abaz Quka