HomeAnswersFamily PhysicianmigraineWhy is my migraine pain not getting better with Paracetamol?

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

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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. J. N. Naidu

Medically reviewed by

Dr. Sneha Kannan

Published At September 12, 2020
Reviewed AtJanuary 2, 2024

Patient's Query

Hi doctor,

I have a terrible migraine now and I have taken Paracetamol. But it has not subsided even after the tablet before two hours. I am working from home and I sit in front of the computer for nine hours a day for seven days. I need to log out from my shift today as I have terrible pain. I am very sensitive to light and noise. Suddenly I had a blackout with crowning pain in my head and an irritating flat line sound. This happened to my husband last time and I took him to the hospital. They gave him Dextrose. But I am not willing to go to the hospital due to Pandemic. Please help.

Answered by Dr. J. N. Naidu

Hi,

Welcome to icliniq.com.

I have gone through the query.

The Probable causes

You have a migraine.

Investigations to be done

You do not need investigations now.

Differential diagnosis

You have a migraine or a cluster headache.

Probable diagnosis

You have a migraine.

Treatment plan

You can take tablet Sumatriptan 50 mg four tablets. Take a tablet now and if the pain persists, then you can take another one. Do not take more than two tablets in 24 hours. Do not use any other tablets along with Sumatriptan. It can cause serious and life-threatening reactions when it is taken with other drugs.

Preventive measures

Have a regular sleeping pattern. Drink 8 cups of water every day to avoid having dehydration. Avoid having big sounds and flashlights moving around you. Have a gazing at the greenery for ten minutes after every two hours of work. Avoid having spicy foods as they can precipitate migraines. Take a note of your triggering agents that precipitate the migraine attacks and try to avoid them.

Regarding follow up

This is a not life-threatening condition and lead a stress-free life.

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

Dr. J. N. Naidu
Dr. J. N. Naidu

General Practitioner

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