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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Migraine?

I have a hx of chronic migraine, but cant get this headache under control. Took imitrex at 6am and soma and tylenol later. Got some relief, then coming back and took 2 ibuprophen and soma with tylenol. Later took 2 more ibuprophen, 2 benedryl and another imitrex. now nauseated and took reglan po. cant sit still wilth this headache. Usually go to ER, but so expensive. can you help me
posted on Thu, 23 Apr 2015
Twitter Sun, 26 Apr 2015 Answered on
Twitter Mon, 27 Apr 2015 Last reviewed on
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. Migraine headache is an episodic type of severe headache. The headache respond to OTC analgesics but some times proper treatment is needed for relief. You have taken many analgesics and there is no relief in such case I would advise you to consult a neuropsychiatrist for proper management. Medicines like Naproxen or some time Propranolol with Domperidone combination helps to reduce severe headache. Medicines as Amitritpyline or Nortriptyline etc help to reduce the frequency of pains when taken on regular basis. As you are getting severe headache in such case you should start taking the medicines regularly and don't rely on SOS medicines.

Avoid excess tea, coffee and try to wear sunglasses while you go out in sunlight.

Thanks, I hope this helps you. Take care
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What Causes Chronic Migraine?

Hello thanks for asking from HCM for your health related queries I can understand your concern. Migraine headache is an episodic type of severe headache. The headache respond to OTC analgesics but some times proper treatment is needed for relief. You have taken many analgesics and there is no relief in such case I would advise you to consult a neuropsychiatrist for proper management. Medicines like Naproxen or some time Propranolol with Domperidone combination helps to reduce severe headache. Medicines as Amitritpyline or Nortriptyline etc help to reduce the frequency of pains when taken on regular basis. As you are getting severe headache in such case you should start taking the medicines regularly and don t rely on SOS medicines. Avoid excess tea, coffee and try to wear sunglasses while you go out in sunlight. Thanks, I hope this helps you. Take care