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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Headache?

i get bad headaches and usually i will take a fiornial ( no codeine ). If the headache returns or gets much worse,i take maxalt and then i am ok. Over the last several months the fiorninal only works for a few hours so i am relying mainly on maxalt now. I am not sure if theses are now just rebound headaches. I have stopped taking fiornial x 2 weeks. I get a headache every day and take maxalt. This is not normal for me. How do I break this cycle and what can or should i take for a typical headache ? Maxalt is costly and i prefer to take it as a back-up med as i originally did. Thank You, Susan
Tue, 26 Mar 2019
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General Surgeon,  's  Response
Hi,

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications, opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there is no improvement it would be good to do an MRI scan and have a neurological exam.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Constant Headache?

Hi, Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions. Pain relievers such as Aspirin or ibuprofen (Advil, Motrin IB, others) may help relieve mild migraines. Acetaminophen (Tylenol, others), also may help relieve mild migraines in some people. Drugs marketed specifically for migraines, such as the combination of acetaminophen, aspirin and caffeine (Excedrin Migraine), also may ease moderate migraine pain. Triptans effectively relieve the pain and other symptoms that are associated with migraines. They are available in pill, nasal spray and injection form. Anti-nausea medications, opioids and steroids may be used in addition in severe cases. Also, you need to rest and relax and have good sleep. If there is no improvement it would be good to do an MRI scan and have a neurological exam. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon