Hello thanks for choosing HCM for your health related queries
I can understand your concern. The brief history of her pain suggest
migraine type of headache but detailed evaluation is needed to confirm the diagnosis. Migraine is a vascular type of headache that occur in frontotemporal region of head and is a pulsatile type of headache. The headache occurs in episodes but in some cases it can persist. In most cases prophylactic treatment like
PROPRANOLOL can help in control of pain like she has been prescribed
Betacap 40. Some patients require proper treatment in form of drugs like Amitryptiline, Nortryptiline,
Sodium Valproate etc. These medicines when taken regularly help to control the pain effectively. For control of
severe pain medicines like Nexdom can help but her pain is still persisting so in my opinion other drugs like ergots as
Sumatriptan can help. The drug when used on SOS basis can help to control severe migraine. Visit her
psychiatrist again and discuss about these drugs.
Ask her to avoid tea, coffee or carbonated drinks for some days. While moving out she should wear sunglasses as sunlight is a trigger for migraine. Proper 7-8 hours sleep also help to prevent headache.
Thanks, Hope this helps you. Take care
Dr. Seikhoo Bishnoi,
Psychiatrist