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Doctor insights on: Migraine Prevention Medication

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Please describe a good medication for migraine prevention?

Please describe a good medication for migraine prevention?

Some antidepressants: Certain antidepressants in low doses are acceptable for migraine prevention. The tricyclics such as Elavil (amitriptyline) are a particular class that have been used for years. They work better over a longer period of time and as such should be used primarily under a physician supervision. ...Read more

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Dr. Bennett Machanic
4,331 doctors shared insights

Headache (Definition)

The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...Read more


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Is it dangerous to take stimulants (ADHD medications) and beta-blockers (Propranolol) together? If so, why? Diff. med. for BP and migraine prevention?

Dr. Dr.
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Is it dangerous to take stimulants (ADHD medications) and beta-blockers (Propranolol) together? If so, why? Diff. med. for BP and migraine prevention?

Theoretically yes: Practically probably not. This answer is based on the fact that if you are on a B Blkr and taking a symptathomimetic agent like a stimulant this could cause severe hypertension. Based on studies of people on B Blkrs who took cocaine or were given epinephrine for allergic reactions and this turns out not to be unfounded and not the case. If your BP is up see your Dr and review your medications. ...Read more

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Can I use zonegran for migraine prevention?

Can I use zonegran for migraine prevention?

Yes: Zonegran has a good side effect profile. You should drink plenty of fluids to avoid risk of kidney stones. ...Read more

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How well does the Cefaly work for migraine prevention?

How well does the Cefaly work for migraine prevention?

I don't know: Frankly, never prescribed one yet to my patients, but have seen many times used devices on ebay. Here is the Cefaly discussion group on Migraine.com: <a href="http://migraine.com/topic/cefaly-anti-migraine-device/" rel="nofollow" target="_blank">http://migraine.com/topic/cefaly-anti-migraine-device/</a> It’s important to understand that what is helpful for one will not help another. Take good car ...Read more

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How much nortriptylene should I take for migraine prevention?

How much nortriptylene should I take for migraine prevention?

Smallest dose: Amitryptyline is a good preventative medication for migraine, if the diagnosis is correct. Sometimes even 10mg per day is sufficient as it does not work in the capacity of an antidepressant when given for migraine in my opinion it is better than nortryptyline for this purpose. ...Read more

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Just wondering- how (medically speaking) does B2 aide with migraine prevention? Searched and can't find the answer. Thx!

Just wondering- how (medically speaking) does B2 aide with migraine prevention? Searched and can't find the answer. Thx!

Ehhhh, maybe...: Based on the research that's been done so far, taking a riboflavin supplement MAY help decrease the frequency and severity of headaches. In addition, it's safe and it doesn't cause any kind of toxicity. But efficacy data are based on relatively small numbers of subjects. It doesn't hurt to take it and it may help, but don't be overly disappointed if it doesn't. Help, that is. ...Read more

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What are some migraine prevention meds?

What are some migraine prevention meds?

Agree with Dr Ho: Although there are several prescription items, my patients seem to favor otc preps, and many like the success of butterbur, also riboflavin, coq-10, feverfew, magnesium. Botox does work, acupuncture might help. ...Read more

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I have TMJ and frequent severe migraines. 2 or 3 a month. Could this be serious? Any OTC migraine preventions?

I have TMJ and frequent severe migraines. 2 or 3 a month. Could this be serious? Any OTC migraine preventions?

See MD and DDS: Persistent TMJ pain and migraines should be evaluated by a qualified dentist and physician respectively. You should not rely on otc medications for prevention and relief. Seek professional advice first! there are some excellent health care professionals out there who can help. It's just a matter of finding them. Don't give up easily. Feel better. ...Read more

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Why topiramate is good in migraine prevention?

Why topiramate is good in migraine prevention?

Because it works: Most good medicines just seem to work and then we try to figure out why. That is what happened with topiramate. Migraine has a significant brain involvement that seems to respond to seizure medications. However, low doses work well for migraine that would not work for seizures. If it helps without significant side effect - why not use it. ...Read more

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Is it effective to take verapamil for migraine prevention?

If have chronic type: There r certain medications that may be very helpful to prevent migraine; if ha occurs 10-15 / month, its chronic. Beta-blockers (eg propranolol), calcium channel blocker (eg verapamil), tricyclics (amitriptylline), nsaid's (naproxen) may work. Avoid triggers ( wines, aged cheeses, loud noise, some weathers, uri's, fatigue, stressful confrontations) may all help prevent. Force a smile, again, agai. ...Read more

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When I start Inderal 10mg twice day(migraine prevention) can I stop taking it if my BP gets too low as I usually have BP 110/76?

When I start Inderal 10mg twice day(migraine prevention) can I stop taking it if my BP gets too low as I usually have BP 110/76?

Yes: the dose is low and in the majority of cases should not lower your bp to any significant degree. should not be a problem stopping it, but you must notify your doctor. if you are dizzy and bp is less than 100 after taking inderal- i would stop it and let your MD know. ...Read more

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COQ10 for migraine prevention, how does it work&should I try it? Other nonprescription options? Tried 5 diff prescrpts, too many side effects.

COQ10 for migraine prevention, how does it work&should I try it? Other nonprescription options? Tried 5 diff prescrpts, too many side effects.

?no effect: There are good treatments for migraine,see a neurologist. Keep a headache diary to discover trigger mechanism and avoid them,especially with regards to lifestyle and food ...Read more

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Is acupuncture a good migraine prevention and is it safe?

Is acupuncture a good migraine prevention and is it safe?

Acupuncture: Acupuncture is extremely safe. It is often used to treat Migraine headaches and other types of headaches. It may help reduce conditions which can trigger migraine headaches. ...Read more

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Where would an acupuncturist place needles for migraine prevention? 

Where would an acupuncturist place needles for migraine prevention? 

Different locations.: Chinese scalp acpuncture, auricular (ear) acupuncture and specific acupuncture points along major meridians. ...Read more

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Taking flunarizine and propanol for migraine prevention. Is it ok to take in long term and does it suppress my immune ?

Taking flunarizine and propanol for migraine prevention. Is it ok to take in long term and does it suppress my immune ?

I believe so...: Flunarizine is a calcium channel blocker used overseas (not in US) with good success for migraine prevention. This category of drug has been used for decades & has a good safety profile for long term use. Propranolol is even safer. There is no reason either should suppress your immune system. If they are working well for headache prevention, the benefit/risk analysis seems in favor of taking them. ...Read more

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Is hypnotherapy safe as I want to try it for anxiety and migraine prevention but recently read theres some serious side affect after, now I'm unsure?

Is hypnotherapy safe as I want to try it for anxiety and migraine prevention but recently read theres some serious side affect after, now I'm unsure?

Clinical hypnosis: Can be safe and effective when utilized by a trained and licensed health care professional. He/she will likely teach you self-hypnosis in the process. See www.asch.net for more info and referrals. Peace and good health. ...Read more

Dr. Bennett Machanic
1,501 doctors shared insights

Migraine Headaches (Definition)

Migraine headaches are a common condition that often include a headache with throbbing, pulsing pain, blurriness of vision, nausea, and sensitivity to light. They ...Read more


Dr. Dariush Saghafi
1,889 doctors shared insights

Migraine (Definition)

A type of headache that is associated with throbbing localized pain and usually causes light ...Read more