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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headache, Diagnosed New Daily Persistent Headache, Taking Doxycycline And Singulair. Treatment?

Hi, I have had a headache for 1 year, 7 months straight in a row. It never remits, and the only trigger seems to be a viral infection. I tried about everything with no relief. Neurology has diagnosed me with "new daily persistent headache". Limited studies have shown 95% of NDPH have tumor necrosis factor in their cerebral spinal fluid. I have been on doxycycline and singulair used as tnf blockers with no effect. This appears to be an auto immune problem. Neurology and my primary physician do not feel comfortable trying to use other tnf blockers like enbrel, humira, remicade. Rheumatology in my small town just deals with allergies. Any suggestions what I should do?
posted on Fri, 11 Oct 2013
Twitter Fri, 11 Oct 2013 Answered on
Twitter Fri, 11 Oct 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello,
I have gone through your query and understood your concerns. I must tell you here must be a chronic infection which made the monocytes level elevated in him. Give him tab.dolo every 8 hrly to control temperature and start an antibiotic like amoxicillin. As it is a prescription drug you need to consult your doctor for this. Thank you.
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Headache, Diagnosed New Daily Persistent Headache, Taking Doxycycline And Singulair. Treatment?

Hello, I have gone through your query and understood your concerns. I must tell you here must be a chronic infection which made the monocytes level elevated in him. Give him tab.dolo every 8 hrly to control temperature and start an antibiotic like amoxicillin. As it is a prescription drug you need to consult your doctor for this. Thank you.