
Suggest Treatment For Hemiplegic Migraines

Sensation in my arm and face has returned and i have full
Mobility but headache is still severe and i feel very weak. Neurologist says high dose asprin best but its not working. What medications do you reccomend? I havent seen neurologist for three years and wonder if there are new medicines
No new medication for this type of migraine.
Detailed Answer:
I read your question carefully and I am sorry about the symptoms you are experiencing.
Hemiplegic migraine is a special variation of migraine. For classic migraine attacks there are effective drugs like triptans and ergotamine derivatives. Unfortunately for hemiplegic migraine the use of these drugs is contraindicated because they constrict blood vessels and there is fear of causing a stroke.
So we are still a little limited in the drug use, what are used are non steroid antiinflammatory drugs (aspirin, ibuprofen, naproxen etc) and if those are not effectife antiemetics (metoclopramide, prochlorperazine) or opiates.
If attacks become frequent we can discuss preventive treatment, but this doesn't seem to be your case.
I remain at your disposal for further questions.

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