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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Migraines Be Prevented?

I woke 3 nights ago with a migraine and my whole left side of my body numb. I took z tylenol and slept it off. Since then sunday I have felt very drugged and groggy. I am very tired and can hardly walk without getting dizzyi am now starting to get another migraine. I have felt this way tor three days? What should I fo
Thu, 26 Sep 2019
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Neurologist,  's  Response
Hi,

First of all the prophylaxis of migraine is essential after doing an CT brain to exclude a focal brain lesion. You can use Amitriptyline 25 mg: half a tablet before bedtime for three days then you can increase the dose every three days until relief or reaching 2 tablets before bedtime per day.

You can use Propranolol 20 mg one tablet a day for three days then you can increase one tablet every 3 days until relief or reaching 80 mg per day. The dose of Propranolol should not be taken once, you can take one tablet 20 mg every 6 hours.

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

Regards,
Dr. Mustafa, Neurologist
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How Can Migraines Be Prevented?

Hi, First of all the prophylaxis of migraine is essential after doing an CT brain to exclude a focal brain lesion. You can use Amitriptyline 25 mg: half a tablet before bedtime for three days then you can increase the dose every three days until relief or reaching 2 tablets before bedtime per day. You can use Propranolol 20 mg one tablet a day for three days then you can increase one tablet every 3 days until relief or reaching 80 mg per day. The dose of Propranolol should not be taken once, you can take one tablet 20 mg every 6 hours. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist