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Re: Anyone with successful migraine treatment who's on

Posted by ed_uk2010 on December 6, 2013, at 14:27:55

In reply to Re: Anyone with successful migraine treatment who's on, posted by jono_in_adelaide on December 5, 2013, at 21:40:27

> If you're looking at a preventative, propanolol has been shown to be the most effective and best tolerated agent, its also dirt cheap and doesnt cross react with your SSRI
>
> 40-80mg twice a day

The sustained release brands may cause slightly fewer side effects than plain propranolol, but may be somewhat more expensive. Not everyone responds to or tolerates propranolol (I don't!), bu at least there are plenty of alternative options! Propranolol cannot be taken by asthmatics. Propranolol is certainly a first-line preventive med for frequent severe migraines, or those that don't respond well to acute pain relief or triptans.

Some triptans may be safer with SSRIs than others, so check with a pharmacist for advice.

 

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poster:ed_uk2010 thread:1055205
URL: http://www.dr-bob.org/babble/20131115/msgs/1055584.html