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Hi doctor,
I have chronic migraines for the past 15 to 16 years and was diagnosed with type A migraine earlier this year. I was on Sandomigran (Pizotifen 0.5 mg) that I was taking for the past three months. The migraines episodes have dropped considerably, and the quality of life regarding daily headaches is far better. However, ever since I have started to have this medication, I was suffering from very severe constipation. The evacuation is done very forcibly, and the stool comes in the shape of pellets or very dry and hard stools. I have been drinking almost 3.5 liters of water; I tried taking Metamucil, but that choked my bowel movements more. The bowel movement seems to ease out after taking the Dulcolax tablet (sometimes, I took two pills). I have been taking Softovac for some time but then stopped thinking that this might cause dependency. I took Movicol three sachets yesterday, but the morning stool was again very hard, stressful, and in lumps. I am scared that this continuous application of stress may lead to other rectal complications. There has been no blood observed so far. Please advise.
Hi,
Welcome to icliniq.com.
You are right, as a few people do experience severe constipation with Sandomigran (Pizotifen). First, we would try to workout on constipation, but if we fail to improve it in a few weeks, we would consider switching to alternative drugs for migraines. Very important here is that you should give atleast 7 to 10 days for any laxative to work before switching to another one. I would recommend you discuss with your doctor to prescribe you to take Pruvict 2 mg (Prucalopride) in the morning. At night take two tablespoons of Softovac (Isabgol, Sonamukhi, Amaltas, Harad, Mulethi, Gulab dal, and Fennel). Rest, fruits, fibers, and water intake to be increased. I would also like to know whether you are on any other medication for thyroid, hypertension, diabetes, or any multivitamins.
Hi doctor,
Thanks for your reply.
In the morning, I take Vitamin B12, CoQ10, and Menevit, and at night I take Brahmi 9000 tablets. Are you recommending Prucalopride and Softovac together?
Hello,
Welcome back to icliniq.com.
Yes, I am recommending them together. You can gradually shift on one. My other concern would be that too much of supplements can also cause constipation. So, I would recommend to stop them for a few weeks. You may feel better. Later, you can add them gradually. I hope it helps you. If you have any further queries, please ask me.
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