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Suggest Treatment For Menstrual Migraines

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Posted on Wed, 12 Apr 2017
Question: Sir my 26years old daughter suffering from menstrual migraine from last 2 years.The pain is so worse that it is lasting for more than 10 days.pain starts just before period and she feel no pain for 2days but the pain enters during 3rd day of period and lasts continuosly for 10days sometimes more.pain on left and right side of head temple and on top of head pain completly finally comes to left side of head and temple totally. The pain is effecting the eye temples also.left side eye temple pains a lot.
We conculted a neurologist he said its migraine and gave betacap tr 40 and eliwel 10mg f0r 3 months. After 3monrhs we consulted doctor again he said to continue medicine for 8 more months.initially the medicine worked but did not stop migraine and days it is being there.but from past 6 months the medication stoped working on migraine.
Migraine has become worse during periods but when she take medicine it doesnot effected migraine.again we consulted doctor then he told to continues medicine for 6months but changed the dose of eliwel from 10 to 25mg.evennow the increased medicine is also not working on her pain.
She is unable to bear the pain those many days and we are fear of using pain killers every month.once the pain is gone she gets the migraine only during the next periods but bearing it for 10 days in a month is so horrible.
She also try to sleep when she get the trigger of migrain she will have a good sleep but aftr she got up from sleep she will still have the migraine.she is trying to daignosis for herself by studying in web but nothing is working.she started taking b12 tablets but no use.now she is thinking of taking magnesium tablets as some one adviced but we are thinking self mediaction not safe.
Please suggest some cure for my daughters pain.
doctor
Answered by Dr. Neeraj Kumar (51 minutes later)
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
For menstrual migraine pain killers can be started 2 days prior to menstruation for few days. Estrogen supplements is another option. Oral contraception is another option for stopping periods and pain associated with it.
Magnesium can also be taken as supplement from the day 15 of menstruation till menstruation ceases.
Pain killers like mefenamic acid or naproxen can be taken for acute attack.
Triptans like sumatriptan or rizatriptan can be taken too.
Amitriptyline can be continued in the same dose.
Avoid fasting, excessive tea or coffee intake.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Neeraj Kumar (13 hours later)
magnesium tablets are not found when asked directly in pharma.they are asking for exact name.so sir can you please prescribe the magnesium tablets to be taken.
and also prescribe estrogen supplement tablets.
I dont have habbit of taking tea or coffee from my childhood.
And i use naproxen as a pain killer but can i take 3-4 tablets in a month.is it not harmful?
For how many years i have to be on medication?

And also i want to know whether this menstrual migraine has any chances to be cured by itself.or can they be cured during pregnancy?

And also please prescribe the the tablets

thanking you.
doctor
Answered by Dr. Neeraj Kumar (20 hours later)
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
Magnesium tablets come as supplement with vitamin.
You can online purchase it Nature made magnesium 250 mg daily once, Healthvit magnesium and vitamin B 6, Health viva calcium.
Many estrogen brands like evalon, premarin, progynova can be taken.
The medicines may be required for few months to year.
Pregnancy may reduce the incidence of such headache.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Neeraj Kumar (6 hours later)
sir you prescribed Healthvit magnesium.Many combinations of magnesuim are available like magnesium oxide,magnesium glycinate,magnesium hydroxide or magnesium citrate.Which one is for menstrual migrane purpose.

and healthviva calcium has magnesium hydroxide of 1000mg

From the above both what should i take as an intake of magnesium for safe health

thanking you
doctor
Answered by Dr. Neeraj Kumar (19 hours later)
Brief Answer:
Take dose as advised

Detailed Answer:
Hello,
Any magnesium can be taken.
Take around 250 mg once daily tablet.
It is safe.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Treatment For Menstrual Migraines

Brief Answer: Take treatment as advised Detailed Answer: Hello, I have gone through your question and understand your concern. For menstrual migraine pain killers can be started 2 days prior to menstruation for few days. Estrogen supplements is another option. Oral contraception is another option for stopping periods and pain associated with it. Magnesium can also be taken as supplement from the day 15 of menstruation till menstruation ceases. Pain killers like mefenamic acid or naproxen can be taken for acute attack. Triptans like sumatriptan or rizatriptan can be taken too. Amitriptyline can be continued in the same dose. Avoid fasting, excessive tea or coffee intake. Hope you found the answer helpful. Do get back to me for further information. Regards Dr N Kumar Neurologist