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Overview

Topiramate

Prescription vs.OTC: Prescription by Doctor required

Topiramate, an anti-convulsing, aids in the treatment of seizures. The doctor may prescribe the drug with a combination of other medicines or all on its own, depending on the condition of the patient. The drug also effectively prevents headaches that occur because of migraine. Topiramate controls certain chemicals present in the brain, thus treating seizures and preventing headaches.

The drug should only be used if it is prescribed by a doctor. Before starting the drug provide your medical history and discuss the benefits and risks of taking it. The drug is not meant for patients who are allergic to any ingredient in it or those who suffer from metabolic acidosis, that is, high levels of acid in the blood. Also inform your doctor if you are pregnant or trying to conceive or breast feeding before starting Topiramate. Give him a list of medicines that you are taking presently. Ensure that you include prescribed, non-prescribed as well as any herbal medicines that you are taking. This is primarily because there are some medicines which tend to react with Topiramate resulting in severe complications. Tell the doctor about any allergies related to food or other medicines that you may have.

Some side effects will occur when you take Topiramate. A few common side effects of this drug are-

  • constipation
  • dizziness
  • headache
  • appetite loss
  • dryness of the mouth
  • flushing
  • pain in the stomach

Some patients may also experience severe side effects like-

  • pain in the bones
  • fever accompanied with chills
  • pain in the chest
  • problems with concentration and coordination
  • behavioral changes, like mood swings
  • fainting spells

A doctor should be consulted if the side effects persist or become worse.

Topiramate is used in the treatment of seizures which is a brain disorder characterized by uncontrolled jerking movements and loss of consciousness.
Topiramate is used in the treatment of Lennox-Gastaut syndrome which is a type of seizures characterized by multiple seizures.
Migraine Headache
Topiramate is used in the treatment of a severe headache in migraine patients.
Not recommended in patients known allergy to Topiramate.
In addition to its intended effect, Topiramate may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Blurred vision Major Common
Dizziness Major Common
Unusual tiredness and weakness Major Common
Abdominal pain Major Less Common
Loss of appetite Major Less Common
Hair loss Major Less Common
Pale skin Major Less Common
Tremors Minor Common
Back pain Minor Less Common
Constipation Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 2 to 3 days.
What is the onset of action?
The effect of this medicine can be observed in 1 to 2 hours.
Are there any pregnancy warnings?
This medicine is not recommended for pregnant women.
Is it habit forming?
No habit forming tendency has been reported
Are there any breast-feeding warnings?
This medicine is known to excreted in breast milk. It is recommended only if necessary. Monitoring of undesired effects like diarrhea, drowsiness is necessary.
Missed Dose instructions
Take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose instructions
Seek emergency medical treatment or contact the doctor if any symptoms of the overdose like drowsiness, slurred speech appear.
India
United States
Japan
Below is the list of medicines, which contains Topiramate as ingredient
Topaz 25mg Tablet
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Sun Pharma Laboratories Ltd
Kivi Labs Ltd
Alkem Laboratories Ltd
Arinna Lifesciences Pvt. Ltd
Micro Labs Ltd
Cadila Pharmaceuticals Ltd
Unichem Laboratories Ltd
Sigmund Promedica
Psycormedies
Torrent Pharmaceuticals Ltd
D.D Pharmaceuticals
Sun Pharma Laboratories Ltd
Arinna Lifesciences Pvt. Ltd
Ranbaxy Laboratories Ltd
Triton Health Care Pvt Ltd
Intas Pharmaceuticals Ltd
Tripada Healthcare Pvt Ltd
Orchid Chemicals & Pharmaceuticals Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Blood disorders Major
Topiramate may lower the blood cell count and may lead to a fatal condition. Close monitoring of blood cell count is necessary. Inform the doctor if you have any blood disorder. An alternate class of medicine may be considered based on the clinical condition.
Interaction with Alcohol
Alcohol Moderate
Consumption of alcohol is not recommended if the patient is receiving Topiramate. Inform the doctor if you are an alcoholic. Any symptoms of dizziness, difficulty in concentration should be reported to the doctor. Dose adjustments or an alternate medicine should be considered based on the clinical condition.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Clozapine Major
These medicines may increase the body temperature and decreases sweating. This interaction is more common is children. Any symptoms of increase in the body temperature and decreased sweating should be informed to the dcotor.
Metformin Moderate
These medicines may increase the risk of lactic acidosis. Inform the doctor if you are receiving antidiabetic medications. Seek immediate medical treatment if you have any symptoms of weakness, muscle pain, vomiting and irregular heartbeat.
Ethinyl Estradiol Moderate
The desired effect of contraceptive pills will not achieve if these medicines are taken together. Suitable dose adjustments or an alternate medicine should be considered based on the clinical condition.

Popular Questions & Answers

I have migraine issue but after taking doctor's prescription, I started taking medicine but I didn't get relief so please suggest.

PDDM, MHA, MBBS
General Physician, Nashik
I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.
1 person found this helpful

I am suffering from migraine. Yesterday got a migraine attack and now I am having swollen eyes. please recommend me some medicine to get rid of swelling.

PDDM, MHA, MBBS
General Physician, Nashik
I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.

How to cure completely my head migraine? Any tablets? I am now using flunipar 10 mg. It gives me many side effects such as body pain, sleepy,no clear eye sight. So please suggest me a gud way to cure my head migraine.

PDDM, MHA, MBBS
General Physician, Nashik
I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.
1 person found this helpful

Having migraine problem. Kindly prescribe good medicine as I am suffering huge head pain. Unable to sleep at night.

PDDM, MHA, MBBS
General Physician, Nashik
I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.

I am a 42 years old male. Actually I might be in depression from long time due to not settled in life. But unfortunately I have settled now. I have married six years completed no baby. My problem is I am a alcoholic since 14 years. I consume alcohol 180 ml evening everyday. Now I have decided to quite the alcohol. But I tried twice l was unable to stop please suggest any tablet for stop craving.

DPM, FAGE, MBBS
Psychiatrist, Indore
Hello, Thanks for writing to us. I have read your case and can understand your situation. There is systematic program for de addiction which involves detoxification and then rehabilitation. This requires you to be admitted under surveillance of doctor / trained professional. First 3 to 4 days, you would be detoxified in which you would be started with I V fluids, multivitamins (B1 mainly) and benzodiazepines. This would correct electrolyte disturbances, replete vitamin deficiencies and would avoid harmful withdrawal symptoms. After this you would be started with anti craving drugs like Acamprosate, Naltrexone, Topiramate, etc to decrease the craving for alcohol. This would be then continued for 4 to 5 months to make sure you don't get into trap of alcohol use again. Hope I could solve your query. Feel free to write back. Regards.
2 people found this helpful

Popular Health Tips

Kidney Stones

BHMS
Homeopath, Ahmedabad
Kidney Stones

Kidney stones (renal lithiasis, nephrolithiasis) are hard deposits made of minerals and salts that form inside your kidneys.

Kidney stones have many causes and can affect any part of your urinary tract — from your kidneys to your bladder. Often, stones form when the urine becomes concentrated, allowing minerals to crystallize and stick together.

Passing kidney stones can be quite painful, but the stones usually cause no permanent damage if they're recognized in a timely fashion. Depending on your situation, you may need nothing more than to take pain medication and drink lots of water to pass a kidney stone. In other instances — for example, if stones become lodged in the urinary tract, are associated with a urinary infection or cause complications — surgery may be needed.

Your doctor may recommend preventive treatment to reduce your risk of recurrent kidney stones if you're at increased risk of developing them again.

SYMPTOMS

A kidney stone may not cause symptoms until it moves around within your kidney or passes into your ureter — the tube connecting the kidney and bladder. At that point, you may experience these signs and symptoms:

  • Severe pain in the side and back, below the ribs
  • Pain that radiates to the lower abdomen and groin
  • Pain that comes in waves and fluctuates in intensity
  • Pain on urination
  • Pink, red or brown urine
  • Cloudy or foul-smelling urine
  • Nausea and vomiting
  • Persistent need to urinate
  • Urinating more often than usual
  • Fever and chills if an infection is present
  • Urinating small amounts

Pain caused by a kidney stone may change — for instance, shifting to a different location or increasing in intensity — as the stone moves through your urinary tract.

When to see a doctor

Make an appointment with your doctor if you have any signs and symptoms that worry you.

Seek immediate medical attention if you experience:

  • Pain so severe that you can't sit still or find a comfortable position
  • Pain accompanied by nausea and vomiting
  • Pain accompanied by fever and chills
  • Blood in your urine
  • Difficulty passing urine

Causes

Kidney stones often have no definite, single cause, although several factors may increase your risk.

Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form.

Types of kidney stones

Knowing the type of kidney stone helps determine the cause and may give clues on how to reduce your risk of getting more kidney stones. If possible, try to save your kidney stone if you pass one so that you can bring it to your doctor for analysis.

Types of kidney stones include:

  • Calcium stones. Most kidney stones are calcium stones, usually in the form of calcium oxalate. Oxalate is a naturally occurring substance found in food and is also made daily by your liver. Some fruits and vegetables, as well as nuts and chocolate, have high oxalate content.

    Dietary factors, high doses of vitamin D, intestinal bypass surgery and several metabolic disorders can increase the concentration of calcium or oxalate in urine.

    Calcium stones may also occur in the form of calcium phosphate. This type of stone is more common in metabolic conditions, such as renal tubular acidosis. It may also be associated with certain migraine headaches or with taking certain seizure medications, such as topiramate (Topamax).

  • Struvite stones. Struvite stones form in response to an infection, such as a urinary tract infection. These stones can grow quickly and become quite large, sometimes with few symptoms or little warning.
  • Uric acid stones. Uric acid stones can form in people who don't drink enough fluids or who lose too much fluid, those who eat a high-protein diet, and those who have gout. Certain genetic factors also may increase your risk of uric acid stones.
  • Cystine stones. These stones form in people with a hereditary disorder that causes the kidneys to excrete too much of certain amino acids (cystinuria).

Risk factors

Factors that increase your risk of developing kidney stones include:

  • Family or personal history. If someone in your family has kidney stones, you're more likely to develop stones, too. And if you've already had one or more kidney stones, you're at increased risk of developing another.
  • Dehydration. Not drinking enough water each day can increase your risk of kidney stones. People who live in warm climates and those who sweat a lot may be at higher risk than others.
  • Certain diets. Eating a diet that's high in protein, sodium (salt) and sugar may increase your risk of some types of kidney stones. This is especially true with a high-sodium diet. Too much salt in your diet increases the amount of calcium your kidneys must filter and significantly increases your risk of kidney stones.
  • Being obese. High body mass index (BMI), large waist size and weight gain have been linked to an increased risk of kidney stones.
  • Digestive diseases and surgery. Gastric bypass surgery, inflammatory bowel disease or chronic diarrhea can cause changes in the digestive process that affect your absorption of calcium and water, increasing the levels of stone-forming substances in your urine.
  • Other medical conditions. Diseases and conditions that may increase your risk of kidney stones include renal tubular acidosis, cystinuria, hyperparathyroidism, certain medications and some urinary tract infections.

HOMOEOPATHIC MEDICINE FOR STONE

  • berberis vulgaris
  • lycopodium
  • calcarea carb
  • lithum carb
  • hydrangia

Seizures - 3 Ways It Can Be Treated!

MCh - Neurosurgery, MS-General Surgery, MBBS
Neurosurgeon, Delhi
Seizures - 3 Ways It Can Be Treated!

The primary aim of the treatment in patients suffering from seizure is leasing a seizure-free life without giving way to any adverse effects. This goal can be accomplished in over 60 percent people with the help of anticonvulsants. Some patients also experience adverse effects since they suffer from a seizure which is refractory to medical therapy. Here are some of the common treatment options for seizures:

  1. Monotherapy: Sometimes, monotherapy is given as it reduces the chance of all sorts of adverse effects and even avoids drug interactions. Moreover, this type of treatment approach is much less expensive than polytherapy since many older generation of the anticonvulsant agent comprises of hepatic enzyme which is responsible for reducing the serum level of the concomitant drug which leads to an increase in the dosage level of such medicines.
  2. Social And vocational rehabilitation: People suffering from problems in psychosocial adjustments after the diagnosis may also need social and vocational rehabilitation. Many physicians do not pay enough attention to the consequences that an epilepsy diagnosis may leave on the patient. For instance, people with epilepsy may have a fear of experiencing next attack of seizure and they may be unable to work at heights or drive.
  3. Consulting an expert: It is important to refer patients with intractable spells to epileptologist or neurologist for subsequent workup. A neurosurgical consultation may also be needed when the patient has to be treated surgically.

Importance of anticonvulsant therapy
Patients who have had already suffered from recurrent attacks of unprovoked seizure may need treatment with an anticonvulsant. This treatment is not recommended until the person has risk factors for suffering from the problem yet again. The primary means of treating seizure is anticonvulsant therapy where the most suitable drug is chosen based on accurate diagnosis of the syndrome as a response to specific anticonvulsants may vary from one patient to another. The difference in response may reflect the various pathophysiologic mechanisms in different types of seizures.

Types of anticonvulsant therapy
Some of the anticonvulsant therapy medication may have multiple action mechanism while some have an only single mechanism of action. Some of the most common variants of the therapy include:

  1. Neuronal potassium channel referred to as KCNQ opener
  2. Blockers of unique binding sites such as perampanel, gabapentin, and levetiracetam
  3. H-current modulators such as lamotrigine and gabapentin
  4. Carbonic anhydrase inhibitors such as zonisamide and topiramate
  5. Alpha-amino 3-hydroxy 5-methyl 4-isoxazole propionic acid receptor blockers like topiramate and perampanel.
  6. N and L-calcium channel blockers like zonisamide, valproate, topiramate, and lamotrigine

Even though there are so many types of drugs available, all of them cannot be used for the treatment of seizures. Doctors would evaluate the condition thoroughly before prescribing a medication that can be helpful in reducing the severity of the condition.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2726 people found this helpful

6 Magical Tips to Cope with Migraine Attacks

INSTITUTE OF ALTERNATIVE MEDICINES
Ayurveda, Delhi

6 Magical Tips to Cope with Migraine Attacks

Migraines affect up to 18 percent of women and 6 percent of men in the United States. Today, migraines affect as many as four out of every five people in America.  Doctors are still unraveling the mysteries of migraines. Most doctors believe a combination of things that cause people to have migraines. The causes of migraines range from genetics to neurovascular imbalances in the brain.

Why Do Most People Experience Weather Related Migraines?

It is not entirely clear why some people experience more migraines around the change of weather.  Even though the cause of weather related migraines has not been identified, there are ways to decrease the severity, reduce and prevent migraines from occurring.

In a recent survey by the National Headache Foundation, headache sufferers were given a list of possible causes. They were asked to rank them in terms of what commonly brought on their migraines. Three out of every four respondents said that weather triggered their headache pain.

Specific weather triggers included:

  • Changes in humidity
  • Changes in temperature
  • Storms
  • Extremely dry conditions

Most people have an idea of what causes their migraines, but the real question is what can you do to help reduce the amount of migraines, decrease the severity or prevent the migraines from occurring?   Below are six tips to help you cope and find a solution to preventing your migraines. 

6 Tips on How to Cope With Your Migraines

Tip # 1 – Keep a Diary of Your Migraines:

Keeping a diary is the first step toward finding a solution, so your migraines do not disrupt you and stop you from having a healthy, happy and productive life.  The first step is to try to figure out what triggers your migraines.  One way to do that is to keep a diary of all your migraines.  If you think weather is a reason for your migraines then record any of the common weather and environmental factors that may have initiated your migraines. Keep a detailed diary and bring this diary to your doctor, so your doctor can figure what the best treatment is for you.

In your diary, you should include:

  • What part of the brain do you feel the pain?
  • What does the pain feel like?
  • The time your headache began and when it ended
  • Any changes in the weather, such as storms, high winds, or high humidity
  • Any warning signs – symptoms before the migraine occurred
  • Any treatment you tried, and whether it helped or made the migraine worse

Tip # 2 – Making Changes in Your Daily Regimen:

Making changes in your everyday life can help reduce the number and severity of migraines you are experiencing. Here are some changes you can incorporate into your life that can help improve the number of migraines you are experiencing.

  • Sleep: Make sure you get enough of sleep and try going to sleep around the same time each night.  Interruptions in your sleep schedule, getting too much or too little sleep, can trigger a migraine.
  • Exercise regularly: Research has shown that regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger.
  • Eat regular meals: Eating healthy meals regularly are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine.
  • Drink plenty of water: Make sure you drink plenty of water to avoid dehydration, which can trigger migraine.
  • Limit stress: For many migraine sufferers, stress is plays a big factor. Take time each day to relax. Find something that helps you relax like listening to soothing music, taking short walks, meditating or doing yoga.
  • Try complementary therapies: Try using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through acupuncture, massages and cognitive behavioral therapy.

Tip # 3 – Incorporate Certain Foods into Your Diet:

If you are a migraine sufferer like me, you are constantly looking for prevention ideas. Certain foods can help fight off and prevent migraines.  These foods include:

  • Cayenne: Cayenne peppers are widely recognized as culinary ingredients that add intense heat and flavor to southwest American, Caribbean, Indian and Asian dishes. However, this pepper may also offer healing benefits. Capsaicin, the chemical that gives cayenne peppers their heat, may help reduce blood vessel constriction. This may help prevent rapid blood pressure fluctuations that can trigger migraine headaches.
  • Coffee: When it comes to coffee, caffeine can give you migraine relief. It is a major ingredient in many headache medications. However, if you consume too much, it can actually cause migraines. Moderation is key!
  • Flaxseed and Fish: An anti-inflammatory diet is beneficial to preventing migraines.  Flaxseeds and fish are packed with omega-3s and fiber can actually help prevent migraines.
  • Riboflavin-rich Foods: Riboflavin, also known as vitamin B-2, is one of eight B vitamins necessary for the metabolism of nutrients and protection of your central nervous system. A deficiency of this vitamin may also contribute to headaches, particularly migraines. Adding foods high in riboflavin may help stop recurring migraines by correcting deficiencies. Eggs, avocados, broccoli, romaine lettuce, alfalfa, asparagus, walnuts and mushrooms are abundant sources of riboflavin.
  • Magnesium-rich Foods: About 60 percent of migraine sufferers may have magnesium deficiencies. Magnesium is a trace mineral that may help normalize nerve impulses in your brain that transmit pain signals. This may help stop intense pain associated with migraine headaches. It may also help regulate the production of serotonin, a neurotransmitter chemical that may contribute to sudden changes in blood pressure – a contributing factor of migraines. Increase your magnesium intake by consuming foods such as kale, tofu, lima beans, kelp, garlic, apples, bananas and apricots.

Tip # 4 – Consider Dietary Supplements:

  • Magnesium: This is probably the most important one as it contributes to relaxing the brain blood vessels that cause the pain. Magnesium penetrates cell membranes, including the mitochondria. Some of the best drugs used to treat migraines are calcium channel blockers.
  • Vitamin B2: (riboflavin) – Riboflavin, which is vitamin B2, converts energy from carbohydrates. The riboflavin gives your brain more energy, which makes it less likely to be bothered by migraine triggers.
  • Vitamin B6: Vitamin B6 is needed so the body can properly use serotonin and dopamine. These neurotransmitters are necessary for normal nerve cell communication. Researchers have found lower levels of serotonin in people with migraine headaches. Therefore taking Vitamin B6 may help the body better use these crucial chemicals and it is thought be a key vitamin for migraine aura and a natural remedy for migraines.
  • Vitamin B12 & Folic acid:  Vitamin B-12 supplements may also be effective for migraine relief if taken along with vitamin B6 and folic acid. A study published in “Pharmacogenetics & Genomics” in June 2009 showed that participants who took all three supplements together saw a reduction in migraine headache frequency and the severity of their pain.

Tip # 5 – Consider the Possibilities of Herbal Supplements:

For centuries, many people have used alternative therapies to help or cure common conditions.    Certain herbs have been used to help reduce or prevent migraines.  Some can be just as strong or effective as prescription drugs. Therefore, it is important to remember, if you consider using any type of herbal supplements, consult your doctor first.  Make sure it does not conflict with any medications you are currently taking.   You should not take any herbal supplements or drugs unless your doctor says it is OK and if you are pregnant, you should not take any herbal supplements because it may harm the baby.

Herbal supplements used to reduce and prevent migraines include the following:

  • Alfalfa Leaf
  • Barberry Root
  • Bay Leaf
  • Brazilian Guarana
  • Butterbur
  • Catnip
  • Cayenne
  • Chamomile
  • Dong Quai
  • Evening Primrose
  • Feverfew
  • Ginger Root
  • Green Tea
  • Griffonia Seed
  • Hawthorne Leaf
  • Honeysuckle
  • Kola Nut
  • Lemon Balm
  • Passion Flower
  • Peppermint Leaf
  • Valerian Root
  • White Willow Bark
  • Wintergreen
  • Wood Betony

Tip # 6 – Prescription Medications:

Not all experts would recommend using medication to prevent temperature-change-related migraines.  However, if you have tried natural, holistic and alternative therapies to try to eliminate your migraines and nothing seems to be effective then you should focus on other alternatives such as prescription medications specifically made to help people suffering from migraines.

Below are some prescription medications for patients suffering from migraines:

  1. Antiepileptic drugs: Certain medications used to control seizures are also effective for preventing migraines as well. These drugs may work by calming the neurons in the brain. Neuron “hyperexcitability” plays a role in migraine and epilepsy. Up to 20% of people with epilepsy also suffer from migraines including myself.  Anti – seizure medications that help migraines include:
    1. Depacon (valproate)
    2. Depakote (divalproex)
    3. Topiragen, Topamax (topiramate)
  2.  Beta-blockers: These medications are frequently used to treat high blood pressure and heart disease. It is not clear how they help prevent migraines. Nevertheless, beta-blockers improve the blood flow and this may be significant reason why beta-blockers help prevent migraines.  Beta-blockers that have been proven effective for the prevention of migraines include:
    1.  Blocadren (timolol)
    2. Inderal, Innopran XL (propranolol)
    3. Lopressor, Toprol XL (metoprolol)
  3. Antidepressants: These medications affect the level of the brain chemical serotonin. Research has shown that Elavil (amitriptyline) and Effexor (venlafaxine) work well for preventing migraines.
1 person found this helpful

Severe Headache - Can it Be Migraine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Severe Headache - Can it Be Migraine?

One of the most debilitating conditions that anyone can experience is migraine. They can severely limit you by affecting your personal and professional life as you are in constant pain. Migraine can manifest in a type of headache with intense pain, an acute sensitivity to light, nausea and vomiting. Often described as a severe throbbing pain in the head, it may stop you from completing regular daily tasks and may delay or postpone your work.

How can migraines be treated?
The exact cause for these debilitating migraine pain hasn't been pointed out yet, but certain triggers such as stress, hormonal changes in the menstrual cycle, sun exposure, bright or flashing lights, among many others have been identified. The first line of defense for you would be to understand and identify what your triggers are. Once that is done, you can try and avoid them. If these still trigger a migraine or are about to trigger one, you can immediately take medications or steps to control it or at least lessen the pain to go through your day. Some of the options you can employ to this effect are mentioned below.

  1. Medications to prevent a migraine attack: The medications mentioned here are specialized treatments and can only be taken after a consultation with a doctor. If you are deemed as a candidate for preventative medication for migraines, then either one or a combination of drugs from the following may be prescribed to you.
    • Valproate and Topiramate are anti-seizure medications which can be used to prevent migraines.
    • Propranolol, a type of beta blocker and used for cardio vascular problems, has proven to be very effective in preventing migraines.
    • Onabotulinumtoxin A or a type of Botox, has shown a lot of promise in preventing migraines and is being slowly rolled out as a proper drug as a treatment option.
    • Certain antidepressants have also shown to be quite effective in reducing the symptoms of migraines as well.
  2. Medications to relieve pain: Some of the go to medications that help relieve your pain from migraine are mentioned below. Although some of them are OTC (over the counter) drugs, it is best advised that you consult with your doctor for medications which suit you better. The side effects of these medications can be bad and thus, it is not advised to continue them in the long run and to find other means to control pain from migraines. Some of the medications to relieve pain temporarily are:
    • Triptan is a drug used to treat severe migraines
    • Caffeine along with Ergotamine can also help dull the pain and deal with it.
    • Ibuprofen and aspirin and Acetaminophen are common pain killers that you can use
    • Codeine, which contains opioids are also used to treat this problem.
    • Metoclopramide and chlorpromazine are two examples of anti-nausea medications as vomiting along with nausea may frequently accompany your migraine.

Always remember that these medications can have strong side effects if not taken properly, therefore do not just pop a pill, consult your physician first and know which one should you take and how frequently. If you wish to discuss about any specific problem, you can ask a free question.

5500 people found this helpful

How to Control Recurrent Headaches?

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
How to Control Recurrent Headaches?

Headaches arise due to various reasons. Stress, tension, migraine, overwork and several medical conditions may cause headaches of different types. Such headaches are also called chronic headaches, and many cases of headaches are recurrent in nature. This indicates that the headaches might reappear or reoccur.

Headaches are quite frustrating and affect your entire health and performance. Recurrent headaches are even more troublesome as they strike back when you almost thought they were gone. There are several ways to deal with or control recurrent headaches. They include the following:

A. Medical treatment: Medicines can be used to treat the underlying cause of a headache and if these fail, medicines to cure the headache are used.

The different preventive medicines for recurrent headaches are:

  1. Antidepressants: Tricyclic antidepressants by the likes of nortriptyline can be prescribed for treating recurrent headaches. These medications help in curing any kind of depression, anxiety and disturbances in sleep, which usually lead to recurrent headaches. Antidepressants like the selective serotonin reuptake inhibitor or SSRI and fluoxetines are also used.
  2. Beta blockers: Beta blockers, commonly used to treat hypertension, also prevent migraine-related headaches. They include atenolol, metoprolol and propranolol.
  3. Anti-seizure medicines: Several anti-seizure medicines help in the prevention of migraine and also cure daily, recurrent headaches. They include topiramate, divalproex sodium and gabapentin.
  4. NSAIDs: Prescribed nonsteroidal anti-inflammatory drugs like naproxen sodium also help in reducing headaches, which appear daily. NSAIDs are used in cases of severe headache.
  5. Botulinum toxin: Onabotulinum toxin A or Botox injections can be used to get relief from recurrent headaches and are ideal for people whose daily medications are not effective enough.

B. Alternative medicine procedures
Other than medications, alternative therapies to get relief from concurrent headaches can be utilized. They include:

  1. Acupuncture: This ancient procedure involves the use of thin needles, which are inserted into certain areas of the skin at defined points. Acupuncture reduces the frequency and intensity of headaches.
  2. Massage therapy: Massage therapy reduces stress, gives relief to pain and provides relaxation. Massaging of the tight muscles at the back of the head provides relief.
  3. Herbs and nutrients: Several organic herbs help in preventing migraine headaches and reduce the intensity of headaches. They include butterbur and feverfew. Vitamin and mineral supplements can be taken to reduce headaches and prevent them from reoccurring. Coenzyme Q10 supplements, magnesium sulfate supplements can reduce the frequency of several headaches as well.
  4. Investigational approach: A surgical implant, which is a battery operated electrode, can be placed around the occipital nerve. The electrode implant sends energy pulses to the nerve, and headache is eased.

Recurrent headaches can be controlled in various ways, which include medicines and several alternative procedures. You should consult a doctor before you start using some method.

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