Hello doctor, I have migraines daily for the past two months. It gets controlled with painkillers and worsens with movement. Other than that no other symptoms (like dizziness or vomiting) are present. The pain is usually moderate to severe, sometimes one-sided and sometimes full head pain. I am taking Paracetamol or Ibuprofen for pain. Please help.
Hello. I understand your concern and would explain that considering your aggravated situation, it would be reasonable to start preventive therapy for migraine. In this regard, I would recommend starting Topiramate 50 mg twice daily (it is recommended starting 25 mg daily and increase each week by 25 mg, up to 50 mg twice daily). This will help reduce the frequency and severity of migraine headaches. If you do not tolerate this drug or it does not help reduce the frequency of headaches within the first month, I would recommend considering other treatment options like Verapamil or Amitriptyline. You should discuss with your doctor on the above treatment options. There is no need to perform any tests, as this is a chronic headache, and painkillers still help. I hope this helps.