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A DOZEN DRUGS TO BE TRIED IN PATIENTS OF RESISTANT MIGRAINE BEFORE HE GOES TOA SUPER SUPER-SPECIALIST

OP Kapoor

Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.

The following drugs can be tried in patients who often have a combination of migraine and tension headache:

1. Betablockers.


2. Flunarizine (Sibelium), Flumazenil.


3. Methysergide.


4. Nifedipine 5 mg - three times a day.

5. Verapamil 80-120 mg three times a day (specially in cluster headaches).

6. A course of steroids.


7. Sumatriptan or New Serotonin I.F. Receptor Agonists in a dose of 60-120 mg.


8. Valproate.


9. Carbamazepine.


10. Anti-depressants.

11. Tranquillisers with or without anti-depressants.

12. Alternative treatment, after omitting all the allopathic drugs (often omission of allopathic drugs works).



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