Posted by phidippus on October 23, 2012, at 16:08:33
In reply to Re: Propranolol, anxiety and many other subjects..., posted by Vincent_QC on October 23, 2012, at 15:40:33
>First some ideas about what to ask to the Neurologist for the chronic headache with jaw, neck and facial pain...
Have they determined whether this is a neuralgia, like a trigeminal neuralgia?
If not there are a handful of anticonvulsants that work to treat headache pain. Lyrica and Carbamazapine are specifically indicated for neuralgia. Other medications that might work for you are Topomax and Depakote.
Tricyclic antidepressants, such as amitriptyline, nortriptyline (Pamelor) and protriptyline (Vivactil) are often prescribed for headaches.
Preliminary research suggests that one SNRI, venlafaxine (Effexor, Venlafaxine HCL), may be helpful in preventing migraines.
Botulinum toxin type A for treatment of chronic migraine headaches in adults. During this procedure, injections are made in muscles of the forehead and neck. When this is effective, the treatment typically needs to be repeated every 12 weeks.
There are two medications which have been studied for the treatment of chronic headpain, with good results. Vimpat and Keppra have both been helpful to me in treating my chronic daily headaches.
>Something to replace the beta blocker
Prazosin may be a good choice if you're trying to treat anxiety as well. Prazosin has shown efficacy in treating PTSD, panic disorder and GAD in studies.
Also Mexilitine may kill two birds with one stone: lowering your heart rate and treating your headpain-its basically lidocaine in pill form.
Eric
poster:phidippus
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