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Suggest Treatment For Migraine

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Posted on Tue, 12 Jul 2016
Question: Hi, I am suffering from migraine since last 10 years. I get migraine always during weekend.
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Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
You should start preventive medications.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist and would try my best to help you.

Since you are having frequent headaches, you should start preventive medications such as topiramate or divalproex. These medications would reduce the frequency and severity of headaches. available on prescription by a doctor.

Zolmist nasal spray may be continued for relief of headaches.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sudhir Kumar (1 hour later)
Duration of my migraine is 48 hours . So I have to use Zolmist two dose. since the effect of zolmist last for me only 24 hours.

how safe is Zolmist?

Will these medicines topiramate or divalproex. which you prescribed reduce the migraine period as well?

how long I have to take these medicines? what are the side effects?
doctor
Answered by Dr. Sudhir Kumar (4 minutes later)
Brief Answer:
Zolmist is safe.

Detailed Answer:
Thank you for getting back with more information.

It is safe to take two doses of Zolmist.

Yes, topiramate and divalproex would reduce the frequency, severity and duration of headache episodes.

They are reasonably safe.

Topiramate can cause tingling (pins and needles) in feet. In less than 1%, it may cause kidney stones or glaucoma.

Divalproex may cause 4-5 kg weight gain in 5-10% of users after six months of use.

These medications are needed for at least 3-6 months.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Suggest Treatment For Migraine

Brief Answer: You should start preventive medications. Detailed Answer: Hi, Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist and would try my best to help you. Since you are having frequent headaches, you should start preventive medications such as topiramate or divalproex. These medications would reduce the frequency and severity of headaches. available on prescription by a doctor. Zolmist nasal spray may be continued for relief of headaches. Best wishes, Dr Sudhir Kumar MD DM (Neurology)