HomeAnswersNeurologymigraineHow to cure moderate to severe daily migraine?

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


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

Medically reviewed by

Dr. Vinodhini J.

Published At May 15, 2020
Reviewed AtJanuary 2, 2024

Patient's Query

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.

Answered by Dr. Aida Abaz Quka


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.

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

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka


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