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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Migraine Be Treated?

I am 78 years old, have started with migraine at THE age of 60,was told to take migril,bit not THAT I could become addicted to iT,am addicted now And try to alternate veganin and migril,but there are no more nausee so Has it become cephalea well anyway it still hurts like hell if I let it install itself,have to take nearly every 24 hours one or the other pill, sometimes a veganin is not enough and 4 or 5 hours later a migraine.try sometimes to take half but often have to take the other half.what can I do to loose that addiction please. Nobody here in Mauritius seems to know enough about this....in Europe neither I m afraid...
Tue, 8 Oct 2019
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General Surgeon,  's  Response
Hello,

There are different medications that can be used for treatment of migraines. Migraine treatment can be divided into:

(1) abortive ( this is medication used to treat the headaches when they happen ) OR

(2) preventive ( this is used to stop the headaches from occurring at all- it is used when persons have very frequent or severe headaches).

Ireven 75 is an antidepressant and though it can be used for some types of pain, it may not be helpful for migraines.

Abortive treatment- depends on how bad the migraine may be. If moderate migraine then you can try:

(1) Aspirin
(2) Ibuprofen at 400mg to 800mg every 6 to 8 hours
(3) Naproxen- initial 500mg then 250mg every 6 hours
(4) Ketoprofen- 25 to 50 mg every 6 to 8 hours

One of these can be tried, should be available over the counter. If one of these is not effective then you may need one of the medications mentioned below.

There is also medication specific for migraines eg sumatriptan, zolmitriptan, eletriptan,naratriptan. These would require a prescription from your doctor.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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How Can Migraine Be Treated?

Hello, There are different medications that can be used for treatment of migraines. Migraine treatment can be divided into: (1) abortive ( this is medication used to treat the headaches when they happen ) OR (2) preventive ( this is used to stop the headaches from occurring at all- it is used when persons have very frequent or severe headaches). Ireven 75 is an antidepressant and though it can be used for some types of pain, it may not be helpful for migraines. Abortive treatment- depends on how bad the migraine may be. If moderate migraine then you can try: (1) Aspirin (2) Ibuprofen at 400mg to 800mg every 6 to 8 hours (3) Naproxen- initial 500mg then 250mg every 6 hours (4) Ketoprofen- 25 to 50 mg every 6 to 8 hours One of these can be tried, should be available over the counter. If one of these is not effective then you may need one of the medications mentioned below. There is also medication specific for migraines eg sumatriptan, zolmitriptan, eletriptan,naratriptan. These would require a prescription from your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon