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Suggest Treatment For Vestibular Migraine
Question: Diagnosed with vestibular migarines.
I can pick from zoloft, norotripline or topamax to try to rid of them. I tried verapmail but no luck.
In your opinion what is the next one to try with the least side effects. I am very sensative to medications.
I tried ativan during bad attacks, helps a little but make me sleepy.
I can pick from zoloft, norotripline or topamax to try to rid of them. I tried verapmail but no luck.
In your opinion what is the next one to try with the least side effects. I am very sensative to medications.
I tried ativan during bad attacks, helps a little but make me sleepy.
Brief Answer:
Take treatment as advised
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Vestibular migraine can be managed similar to migraine.
Steps to avoid attacks like timely food, sleep, avoiding triggers, fasting.
Drugs should be selected based on side effects.
Flunarizine, Topiramate may be used.
Amitryptiline may be used if anxiety and sleep disturbances present.
Some role of lamotrigine have been shown too.
Pain killers can be taken during acute attacks along with Triptans.
Methylprednisolone intravenously has been tried in acute attacks too.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Take treatment as advised
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Vestibular migraine can be managed similar to migraine.
Steps to avoid attacks like timely food, sleep, avoiding triggers, fasting.
Drugs should be selected based on side effects.
Flunarizine, Topiramate may be used.
Amitryptiline may be used if anxiety and sleep disturbances present.
Some role of lamotrigine have been shown too.
Pain killers can be taken during acute attacks along with Triptans.
Methylprednisolone intravenously has been tried in acute attacks too.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Answered by
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