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Ask Dr.Saleem Your Own Question
Dr.Saleem, Doctor
Category: Neurology
Satisfied Customers: 2281
Experience:  MBBS
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I want to talk with a Doctor specialized in Headaches

Customer Question

I want to talk with a Doctor specialized in Headaches treatments.
JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?
Customer: No... I suffer from Chronic tension headache, not Migraine
JA: Is the headache episodic or daily? And what about nausea?
Customer: daily, without nausea... and i have used all kinds of drugs.
JA: Anything else in your medical history you think the doctor should know?
Customer: No
Submitted: 1 month ago.
Category: Neurology
Expert:  Dr.Saleem replied 1 month ago.

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Expert:  Dr.Saleem replied 1 month ago.

What all have you used so far?

Plz mention your age and gender.

For how long now have you been having headaches? How often? How long in duration each time? Any triggers like tea, coffee, chocolate etc ?

Customer: replied 1 month ago.
Male - 32 years old
I used the drugs and treatments attached.
My actual treatement: Elavil (150mg), Escitalopram (40mg), Epitomax (300mg), benzodiazepine (2mg) / Antaligc and Anti inflammatory drugs aren't inefficient at all with my case.
I have headache for 3 yeard, and daily. Nor relation with foods,
Expert:  Dr.Saleem replied 1 month ago.

Well you are getting almost everything as far as medications are concerned. What you can try is the alternative therapy options that include modalities like ;

  • Biofeedback which is a relaxation technique that teaches you to manage pain and stress
  • cognitive behavioral therapy, which is talk therapy that helps you recognize situations that cause you stress, anxiety, and tension
  • acupuncture, which is an alternative therapy that may reduce stress and tension by applying fine needles to specific areas of your body

You can add supplements like riboflavin 400mg daily, magnesium and coenzyme Q10 to see if that helps.

Another class of headache medications called triptans can be tried too as these are usually very effective in refractory cases of severe headaches.

I hopeit was helpful.

Let me know if you have any furtherqueries

Customer: replied 1 month ago.
Triptans... what is the dose?
Expert:  Dr.Saleem replied 1 month ago.

Zolmitriptan 2.5 mg whenever you get a headache. Maximum single dose is 5 mg. Avoid using more then 10 mg a day. You can repeat 2.5 mg if headache doesnt settle with one dose but total daiily dose should not exceed10mg

Expert:  Dr.Saleem replied 1 month ago.

Let me know if it was helpful.

I am available to answer any further queries.

Please reward a 5 stars rating if you are satisfied.

Wishing you a healthy life.

Kind regards.

Dr Saleem.