Doctor insights on:
Ssri For Migraine
Maybe: It might help and will not cause any issues to try. It is just over the counter medications that benefit some people with migraines and is seen as an abortive medication. If it does not, then you will have to consider prescription medications, such as triptans or ergots that can be more effective for abortive therapy. Excedrin migraine does work very well for some people, and others it does not. ...Read more
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
Aspirin: Throughout the ages the most effective treatment for migraine has been aspirin. However, must take enough (1000mg) and at early onset of migraine and using rapid dissolving form. Often more beneficial if taken with tylenol (acetaminophen) and with Reglan and with some caffeine. Combination of Imitrex with naprosyn may also be quite effective. ...Read moreSee 2 more doctor answers
Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?
Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more
I am currently taking topamax (topiramate) for migraine and experiencing cognitive deficits (memory). What are the best alternatives for migraine prophylaxis?
NOT SURPRISING: Topamax (topiramate) (sometimes known as "dopeamax") very often causes both speech and cognitive issues due to it's affect on an short-term memory pathway (perforant pathway, ampa). Would advise considering possibly depakote, or Naproxen (not beta blockers or calcium channel blockers). But how about otc preps such as riboflavin, coq-10, butterbur, feverfew, maybe magnesium, and lastly botox? ...Read more
Is butterbur safe for migraines? Interactions? Taking Prozac (fluoxetine) to incr. Serotonin to reduce headaches. On a lot of other meds.
Generally safe: Although butterbur is generally safe (and probably safer than most medications used to treat migraine), there have been some reports of liver toxicity in some preparations. Look for preparations that are low in pyrrolizidine alkaloids (pas), which is thought to be the ingredient that can cause toxicity. ...Read moreSee 1 more doctor answer
Complex question: There are many good medications for migraine treatment. Migraine is a serious and complex neurologic disorder. Today effective management of migraine involves three specific strategies: 1) patient education 2) non-pharmacological management (diet, sleep hygiene, acupuncture) and 3) pharmacological (triptans, topamax, (topiramate) etc) management. Rec.:see orofacial pain or headache specialist. Hope it helps. ...Read more
Is Gabapentin an effective migraine treatment? I can't take tryptans, SSRIs, MAOIs or NSAIDS and have severe GERD.
Prophylaxis or tx?: It isn't clear from your question if you have chronic migraine or episodic migraine. Gabapentin isn't optimal for chronic, but botulinum toxin can be used; for episodic there are a number of injectable medications that can be helpful as well such as Imitrex. You should talk to your doctor regarding these options. ...Read moreSee 2 more doctor answers
PMDD treatment: Ssris such as prozac, paxil, (paroxetine) sarafem, and zoloft may provide relief from many symptoms of pmdd. Taking birth control pills stops ovulation and can reduce pmdd symptoms. Non-medical treatment which may help includes regular exercise, healthy diet (limiting salt, sugar, caffeine, and alcohol), and supplements (calcium, magnesium, b6). Please talk to your doctor about what is right for you. ...Read moreSee 1 more doctor answer
Nti-tss: I have had great success treating patients with migraine headaches. Nocturnal para-function, or night time tooth grinding /clenching is a major cause of migraine headaches. Find a dentist in your area that is familiar with the nti-tss night time appliance to help manage the outbreaks. Here is a website for you to learn more and find a dentist who may be able to help. http://www.nti-tss.com. ...Read moreSee 1 more doctor answer
Migraine /pregnancy: Try to limit all medications. I don't use drugs like Imitrex or ergots in pregnancy, i would use tylenol (acetaminophen) for mild headaches. Opoids( narcotics ) as well as anti nausea meds like a Compazine suppository for severe headaches. Paitients may also be helped from relaxation exercises and some biofeedback. ...Read moreSee 1 more doctor answer
Not always.: First, it depends on the cause of the headache, since it contains acetaminophen, caffeine, and a barbiturate. Its official indication is for severe tension headaches. There are other medicines that would be better for migraine treatment. If your headaches are severe, please see your doctor for diagnosis and any needed treatment. ...Read more
40mg fluoxetine-panic disorder, 180mg verapamil-cluster headache prevention (daily).Can I take rizatriptan pill 1hr after those meds for the headache?
May be risky: Taking Fluoxetine, a serotonin reuptake inhibitor, along with a triptan, a serotonin receptor agonist, increases the risk of serotonin syndrome.The syndrome consists of mental status changes, autonomic dysfunction, and neuromuscular abnormalities. Taking Fluoxetine with Verapamil, or Verapamil with Rizatriptan does not pose problematic interactions. Discuss concerns with doctor. Hope this helps. ...Read more
Many have none, but: There r always minor or serious side effects; also allergic reactions.. Some minor--anxiety, tingly skin, dizzy, strange feeling, nausea...; allergic--hives, difficult breathing, tightness chest, swelling lips...Serious--fast, irregular heart rate, hallucinating, numbness in an extremity, severe flushing, cyanotic fingers or toes. Enough? Every med--rx or otc has mild-severe adverse/allergic reax. ...Read more