HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Psychosis And Headache

Hello.My sister has migraine and OCD.She was taking propranolol(ciplar-40) and serlift(150mg).She had psychosis recently.The psychiatrist gave her risperidone(sizodon plus) and serlift(150mg) but discontinued propranolol(given by the earlier neurophysicist doctor) completely.She has recovered from psychosis but have continued to take the medicines as adviced by the doctor.But just like earlier (when she had no psychosis),whenever she travels She has severe headache.Can she start taking propranolol with risperidone and serlift to combat both the problems.If yes then what should be dosage and what are the possible side effects?Thanks in anticipation of your response.
Thu, 9 Jul 2015
Report Abuse
Psychiatrist,  's  Response
hello user , i understand your concern. Tablet propanolol is used for prophylaxis of migraine attacks , it is not useful for acute attacks . so if your sister is having occasional headaches only (less than 4-5/month) - and if she would be my patient i would have advised taking medicines like 1 tablet headset(sumatriptan+naproxen) sos basis only - however if attacks are more frequent and troubling then propanolol can be given in the dose she was earlier maintained on ( but if psychiatrist stopped it , there could be some rationale behind it so better to discuss with him/her rather then taking medicine on own ) propanolol can cause hypotension , can worsen preexisting respiratory difficulties, can worsen depression, and glycemic control among other side effects- but they do not occur in all patients- hope i answered your query , any followup queries are welcome - if satisfied please rate the answer
I find this answer helpful

1 Doctor agrees with this answer

Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Treatment For Psychosis And Headache

hello user , i understand your concern. Tablet propanolol is used for prophylaxis of migraine attacks , it is not useful for acute attacks . so if your sister is having occasional headaches only (less than 4-5/month) - and if she would be my patient i would have advised taking medicines like 1 tablet headset(sumatriptan+naproxen) sos basis only - however if attacks are more frequent and troubling then propanolol can be given in the dose she was earlier maintained on ( but if psychiatrist stopped it , there could be some rationale behind it so better to discuss with him/her rather then taking medicine on own ) propanolol can cause hypotension , can worsen preexisting respiratory difficulties, can worsen depression, and glycemic control among other side effects- but they do not occur in all patients- hope i answered your query , any followup queries are welcome - if satisfied please rate the answer