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Suggest Treatment For Frequent Headaches

Posted on Wed, 24 Aug 2016

Question: I do get frequent headache anytime and with no known reason. Please suggest a cure.

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Provide more details

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Please provide more details regarding headache.
Duration of headache, nature?
Associated nausea or vomiting?
Sensitivity to light or sound?
Any sleep disturbances, anxiety issues?
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Neeraj Kumar (29 minutes later)

Thanks for your prompt response.
My headache is usually for long duration and doesn't go off till the time I have tablet Saridon.
I get headache almost in all area of my head, sometime it is in frontal area or half head, or exactly on top of the head or behind eyes to head top (sorry I couldn't find the technical term to describe it)
There is no nausea or vomiting and neither it is sensitive to light or sound but the intensity of headache is huge.
I don't have sleep disturbance or anxiety (Very rarely I feel breathlessness during night, but it happened only on very few occasions)

Answered by Dr. Neeraj Kumar (6 hours later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question.
Possibility of migraine headache and tension type headache is more likely. You should take amitryptiline 10 mg and Flunarizine 10 mg initially.
The dose of amitryptiline may be increased if not releived after 2 weeks.
Precautions like timely food, proper sleep, avoiding triggers like fasting, stress, excessive tea or coffee and chocolates.
Avoid taking regular pain killers as it may lead to medication overuse headache.
Hope you found the answer helpful.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (5 days later)

Should I start taking the given medicine only when I get headache or as a course and for how many months?

Answered by Dr. Neeraj Kumar (5 hours later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
You are having regular headache, so take amitriptyline and sibelium once daily regularly.
The treatment may be required for 3 to 6 months.
Take pain killers when required.
Wishing good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (17 hours later)

With due respect to your advice just wanted to your further advice about the known side effects of Amitriptyline as mentioned below.

•constipation, diarrhea;
•nausea, vomiting, upset stomach;
•mouth pain, unusual taste, black tongue;
•appetite or weight changes;
•urinating less than usual;
•itching or rash;
•breast swelling (in men or women); or.
•decreased sex drive, impotence, or difficulty having an orgasm

Answered by Dr. Neeraj Kumar (7 hours later)

Brief Answer:
Mentioned side effects are not so common

Detailed Answer:
Hello,
Every drug which has effect has side effects.
The low dose will not cause any problems.
Most common side effect may be dry mouth.
Start and get back if you have significant persistent side effects.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Neeraj Kumar (14 hours later)

Thanks Doc...

Answered by Dr. Neeraj Kumar (8 hours later)

Brief Answer:
Wishing you good health

Detailed Answer:
Hello,
You are always welcome at this forum for all your health queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar