Doctor insights on:
Why Would Someone Have Migranes Alot
Many Factors: Migraine headache is probably caused by ultiple factors. The biggest cause is hereditary, but also lifestyle, environmental factors including diet can all influence the development of migraine. The history of headache onset is critical in determining the type of headache. If onset is sudden or very severe it may not be migraine. Your primary doctor can help get to the basis of your headache. ...Read moreSee 1 more doctor answer
Not yet: What do you mean last stages of a migraine? Migraines can build up over a couple hours and if not aborted early goes into its secondary and inflammatory stage that can last three days or more. It is important to find the trigger and see if you can prevent them. I have had great success with acupuncture and chinese medicine as well so consider a consult with a trained practitioner. ...Read more
Why would my neurologist want to start my topamax (topiramate) dose (for migrane) at 25mg x2 per day then increase to 50mg x2 per day after a week? Isnt that alot?
Migraine: Most patients that respond to topamax (topiramate) do so with doses of 50mg twice a day. In order to increase tolerability some increase the dose even slower starting at 25mg daily for a week, then 25mg twice a day for a week, then 25mg in am and 50mg pm for a week, then 50mg twice a day. It is a very effective tx. Can rarely cause mild weight loss, tingling in hand and mild trouble finding words. ...Read moreSee 1 more doctor answer
Prevention: Several successful ways, such as prescription items (Topamax, Depakote, Beta and calcium channel blockers) but OTC remedies such as feverfew, butterbur, riboflavin, CoQ-10, magnesium. Also Botox. Acute interventions with triptans. See headache specialist and get this started. ...Read moreSee 1 more doctor answer
Prevent them: Consider taking something every day to prevent them from happening in the first place, especially if they are occurring frequently and causing you to miss school or work. There are meds and also over the counters that can prevent migraines. Over the counter butterbur is proven to be effective, for example. Stress reduction via biofeedback has also shown results. ...Read moreSee 1 more doctor answer
See below: Migraines may be caused by changes in the brainstem and its interactions with the trigeminal nerve, a major pain pathway. Imbalances in brain chemicals, including serotonin — which regulates pain— also may be involved. Serotonin levels drop during migraine attacks. This may trigger your trigeminal system to release of neuropeptides, which travel to your brain's covering causing headache. ...Read more
3 specific: The prodrome may be up to 24 hrs prior to the headache, which may be preceded by an aura, and then the typical intense throbbing event lasting 4-12 hrs on average. A postdromal phase of another day or so, during which nonspecific symptoms persist, but recovery is ensuing. In brief, migraine is not just the headache but also, the before and after. ...Read more
Vasograin & migraine: The initial treatment for moderate to severe migraine headaches focuses on preventative and abortive therapy. Your profile indicate you are taking vasograin (ergotamine). This agent may be effective in treatment of migraine headaches but it is not usually part of the initial therapy. Consider discussing treatment with triptan class of medications. Hope your headaches get better soon. ...Read more
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