Suggest Treatment For Severe Pain In Head And Migraine

Posted on Mon, 15 Sep 2014

Question: my head pains very badly , and something pops inside when i walk.. i often get angry and irritated very soon. it pains above my eyebrow , back neck, and back head. i have consulted doctor who said its synacities and starting stage of migraine. I was under treatment for this and was ok but again it started.. this is their for more than 7 yrs. 2 yrs back i have taken ct scan for my brain and got to know that i have stiz around . please help, now i have very severe pain which i could not even walk.

Answered by Dr. Sudhir Kumar (6 hours later)

Brief Answer:
Symptoms are suggestive of migraine.

Detailed Answer:
Hi Ms XXXXXXX

Thank you for posting your query.

I have noted your symptoms and they are suggestive of migraine.

You need to be on preventive medications to reduce the severity and frequency of headaches. Good medications for this purpose include flunarizine and beta blockers.

In addition, you need medications to relieve the headache and pain. For this you can take etoricoxib or rizatriptan tablets.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (3 minutes later)

Hello DR.... I had course of 3 months in the year 2011 for the same problem with the combination of fludac and eliwel tab..

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
They are for depression.

Detailed Answer:
Thank you for getting back.

Fludac (fluoxetine) and eliwel (amitriptyline) are medications used for treating depression (sadness, tension, etc) and it would not help much in headaches and migraine.

So, they are not needed now.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (18 hours later)

Hello Dr... as i said about my head ache .. i also have pain on my eyebrows, on cheeks.. above my nose.. & please suggest the doze of each tab which has mentioned above.

Answered by Dr. Sudhir Kumar (9 hours later)

Brief Answer:
The dose is given below.

Detailed Answer:
Thank you for getting back.

The dose depends on the severity of symptoms and weight of patient.

In my patients, I use flunarizine at a dose of 10 mg daily, and propranolol (beta blocker) at a dose of 40 mg daily to start with.

For pain relief, I use etoricoxib 90 mg tablets and rizatriptan 10 mg tablets.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj