Q. I get migraine daily but it gets controlled with painkiller. How to manage the same?

Answered by
Dr. Aida Quka
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 15, 2020 and last reviewed on: May 28, 2020

Hello doctor,

I have migraines daily for the past two months. It gets controlled with painkillers and worsens with movement. Other than that no other symptoms (like dizziness or vomiting) are present. The pain is usually moderate to severe, sometimes one-sided and sometimes full head pain. I am taking Paracetamol or Ibuprofen for pain. Please help.

 

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Dr. Aida Quka

Neurology
#

Hello,

Welcome to icliniq.com.

I understand your concern and would explain that considering your aggravated situation, it would be reasonable to start preventive therapy for migraine.

In this regard, I would recommend starting Topiramate 50 mg twice daily (it is recommended starting 25 mg daily and increase each week by 25 mg, up to 50 mg twice daily). This will help reduce the frequency and severity of migraine headaches.

If you do not tolerate this drug or it does not help reduce the frequency of headaches within the first month, I would recommend considering other treatment options like Verapamil or Amitriptyline.

You should discuss with your doctor on the above treatment options. There is no need to perform any tests, as this is a chronic headache, and painkillers still help.

I hope this helps.


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