HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Severe Headaches While On Tryptomer And Sibelium

default
Posted on Thu, 16 Feb 2017
Question: Good Morning. As you are aware, I am taking treatment of my chronic headache under your guidance. As per your advise I am taking Tryptomer 25 mg and Sibelium 10 mg.

In addition, I have another issue to discuss with you. I get uneasiness/tingling sensation in my right leg calf muscle only when I go to bed for sleeping (left leg calf muscle has no problem). This disturbs my sleep. This problem does not disturb me throughout the day. I had posted this question to an Ortho Surgeon and as per his advise got the Nerve Conduction study done for both my lower limbs. Ortho surgeon has now advised that I should consult a neurologist and hence I am making this request. I am enclosing herewith two reports - 1) NCV test Report and 2) Doppler Study report for my right leg. Please advise.

Test Reports -,NCV Test and Colour Doppler of right lower limb attached.
doctor
Answered by Dr. Neeraj Kumar (2 hours later)
Brief Answer:
Modify treatment as advised

Detailed Answer:
Hello,
Is there any back pain?
The doppler is showing abnormalities in venous flow and may explain swelling and uneasiness.
Nerve conduction study points to some compression of nerve root at back.
Night symptoms may be due to restless leg syndrome too.
You can continue the previous medications with addition of maxmala forte at night.
In case of increased sedation Tryptomer may be reduced to 10 mg.
Opinion of a surgeon for examination is advisable.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
default
Follow up: Dr. Neeraj Kumar (51 minutes later)
I get pain in the back if I stand for a long time in one posture. Otherwise pain is not there, but I do feel heaviness. You must have noticed that even the NCV Test reveals compression at S1 level. I consulted the ortho surgeon - Mr. XXXXXXX XXXXXXX at XXXXXXX who advised that I should consult a neurologist.

However, as advised I shall add maxmala forte at night. Please advise how long this medicine has to be taken. Regards...XXXX
As already informed, I am also daily taking one capsule of Meganeuron OD Plus which has following salts :- MEGANEURON-OD PLUS cap: biotin 5 mg, methylcobalamin 1500 mcg, pyridoxine hydrochloride 5 mg, benfotiamine 50 mg, folic acid 5 mg, alpha lipoic acid 200 mg.

PLease advise if Maxmala Forte has to be taken along with Meganeuron OD Plus or shall I discontinue Meganeuron OD Plus because some of the salts are common in Maxmala Forte and Meganeuron.
doctor
Answered by Dr. Neeraj Kumar (4 hours later)
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
You can take either maxmala forte or continue meganeuron with maxmala 75 mg.
Pregabalin is not present in meganeuron.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Severe Headaches While On Tryptomer And Sibelium

Brief Answer: Modify treatment as advised Detailed Answer: Hello, Is there any back pain? The doppler is showing abnormalities in venous flow and may explain swelling and uneasiness. Nerve conduction study points to some compression of nerve root at back. Night symptoms may be due to restless leg syndrome too. You can continue the previous medications with addition of maxmala forte at night. In case of increased sedation Tryptomer may be reduced to 10 mg. Opinion of a surgeon for examination is advisable. Regards Dr N Kumar Neurologist