Category Archives: Migraine

Triptans

These divide into two groups: Sumatriptan, Rizatriptan, Zolmitriptan, Eletriptan and Almotriptan have a higher speed of onset. Naratriptan & Frovatriptan have a lower side-effect profile, and also possibly less chance of headache recurrence. Interestingly, someone who hasn’t responded to one … Continue reading

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Migraine treatment

According to latest NICE guidelines, it’s now worth trying combination treatment (triptan + NSAID or paracetamol) as first-line, as found to be effective. For prophylaxis, as per NICE: First-line: Propranolol or topiramate Second-line: Gabapentin (up to 1200 mg/day) or acupuncture … Continue reading

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Sundries

It may be worth starting metformin immediately on diagnosis of DM, without waiting to see whether dietary treatment works. One study found that starting metformin within three months of diagnosis was associated wtih a reduced rate of monotherapy failure a … Continue reading

Posted in Alternative medicine, BMJ, Cardiovascular, Credits 2012, Dementia, Diabetes, HRT, Migraine, Paediatrics | Leave a comment

Prescriber 2010: 21(17) (5th September)

If sumatriptan 100 mg hasn’t done the trick for your patient’s migraines, which triptan should you try next?  Well… If the problem was that it didn’t work, you can try rizatriptan 10 mg (Maxalt) or eletriptan 80 mg (Relpax), both … Continue reading

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