HomeAnswersNeurologyheadacheI find no relief despite medication for my headache. Please help.

How can headaches that do not improve with medications be managed effectively?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

iCliniq medical review team

Published At July 9, 2023
Reviewed AtJuly 18, 2023

Patient's Query

Hello doctor,

I feel pressure at both the temples of my head. I am taking tablets Betacap TR 40 and Mecobalin but did not notice any relief. Please help.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I can understand your concern but I would like to know few more details about your problem like:

1. Since when you started to have this problem?

2. In which part of head you have most headache? Is it mostly on left temple?

3. What kind of headache is it - heaviness/ throbbing/ bursting/stretching type or other?

4. How long one episode of headache lasts usually and how frequent are these headaches? Does it occur once daily or for many times in a day?

5. Do you have associated nausea/ vomiting during headache?

6. Do you have any fever, redness of eyes, watering from eyes?

7. How is your vision?

8. How is your sleep?

9. How is your mood in day to day activity?

10. Since when are you taking Betacap (propanolol) TR 40 mg? Are you taking it once daily or twice daily?

11. What are the triggering factors that exaggerates your headaches?

Investigations to be done

The investigations to be done include MRI (magnetic resonance imaging) brain, and ophthalmology imagination to look for intraocular pressure and a fundus examination to check papilledema.

Differential diagnosis

The differential diagnosis includes migraine and tension-type headaches.

Treatment plan

I suggest you may need to either increase the dosage of Betacap (propanolol) or may need to start another medicine for headache.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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