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Suggest Treatment For Acute Migraine Attacks

Posted on Tue, 16 Jun 2015

Question: Hi, my husband is having severe migraine, he has taken naxdom and ezact but it's not helping, what should we do

Answered by Dr. Sudhir Kumar (40 minutes later)

Brief Answer:
Zolmitriptan nasal spray can be used.

Detailed Answer:
Hi,

Thank you for posting your query.

For acute migraine attacks, zolmitriptan nasal spray (Zolmist) is effective. If this also does not work, then, it is better to take him to the emergency room and get a tramadol injection administered.

Subsequently, a preventive treatment should also be started to prevent the headaches in future.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Sudhir Kumar (43 hours later)

How nasal spray will help migrane

Answered by Dr. Sudhir Kumar (10 minutes later)

Brief Answer:
It gets absorbed and reaches brain.

Detailed Answer:
Thank you for getting back.

Zolmitriptan nasal spray gets absorbed in nose and reaches brain to have effect in migraine.

Best wishes,

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (3 minutes later)

Thanks for the reaponse, very helpful, he is better now, next time if he gets migrane attack should he straight way take this nasal spray or should it been used only in extreme cases? Also, which medicines do you reommed?

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
It can be used straight away.

Detailed Answer:
Thank you for getting back.

Zolmitriptan nasal spray can be taken straightaway when there is migraine headache.

Also, if he gets frequent headaches, he should be on preventive medications such as propranolol or topiramate tablets to reduce the frequency and severity of headaches.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar