Q. I have a terrible migraine now, which did not subside after taking Paracetamol. Please help.

Answered by
Dr. J N Naidu
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 12, 2020

I have a terrible migraine now and I have already taken a paracetamol but it hasn't subsided even after 2 hours. I work from home and is in front of the computer 9hours a day, 7 days of the week. I had to log out from my shift today as I am in terrible pain. Sensitive to light and noise. Iwould suddenly black out with combined with a crowning pain in my head and an irritating flat line sound. Last time this happened my hubby took me to the hospital and they put a dextrose to help me. But I dont want to go to a hospital now due to covid. Please help. Thank you.

# Hi
Just now I saw your request.
The Probable causes:

migraine

Investigations to be done:

Nil

Differential diagnosis:

migraine ,cluster headaches

Probable diagnosis:

migraine

Treatment plan:

1.sumatriptan 50 milligram tablets 4Nos
take one 50mg tablet and if pain persists one more 50 mg tablet may be taken.
Note: not more than 2 tablets in 24 hours.NO OTHER MEDICATIONS SHOULD BE USED DURING SUMATRIPTAN USE.SERIOUS AND LIFE THREATENING REACTIONS CAN OCCUR WITH OTHER DRUGS

Preventive measures:

1.Regular sleeping pattern
2.Drink 2 liters of water to avoid dehydration
3.Avoid big sounds and flash lights--move around gazing at greenery for 10 minutes after every 2 hours work.
4.Avoid spicy foods which precipitate migraine attack
5.Make a note of triggers which precipitate attacks and try to avoid them.

Regarding follow up:

NOTE; It is not life threatening-Don't be under stress -


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