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Migraine Issues which are killer
Since last 8-10 Years i randomly get these migraine attacks which are so painful that it starts hurting the left side of the head above eyebrow.
It gets really painful at times that even after medication it doesn't stop. My hydration is als usually good, but this pain gets endless. One of the doctors suggested me Naxdom 500 which was good initially but sometimes even that fails, how to treat this permanently?
Really tired of this.
Answers (16)
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-Over time some patients develop reduced response to painkillers due to frequent attacks or medication overuse
-Preventive treatment can help reduce frequency and severity significantly
Next Steps
-Tab Propranolol 20 mg once daily for 2 weeks then review
--Tab Flunarizine 10 mg once daily at night for 4 weeks
Health Tips
-Maintain regular sleep cycle
-Avoid fasting, dehydration and known triggers
-Reduce screen exposure and stress
-Keep a migraine diary to identify triggers
-Avoid excessive use of painkillers
contact me anytime on practo for further consultation
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You should visit near by neuromedicine for further mangement
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Along with naxdom, take tab propranolol 10mg one daily in morning.
If pain is severe, take tab tramadol 50mg one every 8hours for 2 to 3 days.
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If the headaches are becoming frequent you can consider precautionary medication like propranolol on daily basis instead of waiting for the headache and then taking naxdom. Naxdom works amazing if headaches are really infrequent. Also other than hydration there are many causes of migraine known and unknown. So it's good that you maintain hydration but that's not going to treat migraine. Also is there any underlying stress that you are not addressing? Because that also worsens the migraines. Take consultation for a detailed evaluation and individualised treatment plan.
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Sir, jo aap describe kar rahe ho wo classic migraine pattern lag raha hai — same side (left), eyebrow ke upar, severe throbbing pain, aur kabhi medicines se bhi control na hona.
Important baat ye hai ki migraine ka “permanent cure” usually nahi hota, but proper control ho jata hai agar treatment sahi tarah se plan kiya jaye.
Abhi aap sirf Naxdom le rahe ho, jo attack ke time ka relief hai. Agar attacks baar-baar ho rahe hain ya severe hain, to aapko preventive treatment (daily medicines) ki zarurat hai — jaise propranolol, flunarizine, topiramate etc. Ye 2–3 months regularly lene se attacks ka frequency aur intensity dono kam ho jata hai.
Attack ke time par Naxdom ke alawa kabhi-kabhi triptans (sumatriptan type) zyada effective hote hain, doctor guidance me le sakte ho.
Saath me triggers avoid karna bahut important hai — irregular sleep, stress, fasting, dehydration, excess screen time, caffeine fluctuation.
Aap ek neurologist ko dikha lo, wo aapka proper plan bana dega (acute + preventive). Sahi management se migraine kaafi control me aa jata hai, aise suffer nahi karna padega
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Meditation helps
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
HEADSET THREE TIMES A DAY AFTER FOOD TILL REQUIRED
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This sounds like chronic migraine, and it’s common for medicines like Naxdom to lose effect over time.
The good part is there are better preventive options that can reduce frequency and severity significantly.
You don’t have to keep suffering like this.
You can book a consultation we’ll plan a proper long term treatment and get this under control 👍
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Hello. I have reviewed your history regarding these "killer" migraines you have been enduring for the last decade.
It is very common for standard medications like Naxdom to lose their effectiveness over time if the underlying migraine cycle is not properly managed. Since your current treatment is failing and the pain is significantly impacting your quality of life, we need to shift the focus from just "stopping the pain" to "preventing the attacks."
1. Transition to Preventive Therapy
When migraines occur frequently or are "killer" in intensity, taking a pill during the attack is often not enough. You should consult a Neurologist to discuss prophylactic (preventive) medications. These are taken daily to raise your "migraine threshold" so attacks happen less often and with much less intensity.
2. Identifying Workplace Triggers
Given your occupation as a software engineer, your environment likely plays a role:
Digital Eye Strain: Ensure you are using blue-light filters and following the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds).
Ergonomics: Neck tension from sitting at a desk can trigger "cervicogenic" headaches that mimic or worsen migraines.
Trigger Mapping: Keep a "Migraine Diary" for two weeks. Track your sleep, meals, and screen time leading up to an attack to see if a specific pattern emerges.
3. Advanced Treatment Options
If preventive medications fail, a neurologist may suggest newer, highly effective treatments such as:
CGRP Monoclonal Antibodies: Injections specifically designed to block the protein that causes migraine pain.
Neuromodulation Devices: Non-invasive devices that use electrical impulses to calm the nerves involved in headaches.
Recommended Next Step
Please schedule an appointment with a Neurologist specializing in headache disorders. Mention specifically that Naxdom 500 is no longer providing adequate relief.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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If you’re looking for proper diagnosis and clear treatment—not confusing or incomplete advice—you can consult me directly.
Available on Practo or via WhatsApp:
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This is a paid consultation. I provide structured, step-by-step treatment plans with simple explanations, focused management, and follow-up until recovery.
Avoid delays and self-medication—get the right treatment from the start.
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No permanent cure for this ,better if you avoid triggers that may affect your headache severe .drug changes for prophylaxis is suitable treatment for migraine, there is no permanent cure.
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Migraine attacks that have persisted for a decade and are starting to fail 'rescue' medications like Naxdom 500 (Naproxen + Domperidone) often indicate a transition into Chronic Migraine. In this state, the nervous system becomes 'sensitized,' making the brain more reactive to triggers. A 'permanent cure' is rare, but a 'long-term remission' is highly achievable by shifting focus from stopping an attack to preventing it from starting in the first place
Next Steps
Start a 'Migraine Diary': Track your attacks for 30 days. Note the weather, what you ate, and your sleep quality before an attack. This helps identify invisible triggers.
Prophylactic Therapy: Since rescue meds are failing, you may need a daily 'preventative' medication (such as a Beta-blocker, Anticonvulsant, or TCA). These are taken every day to reduce the frequency and intensity of attacks.
Lifestyle 'Pillars': Maintain a strict sleep schedule (even on weekends), avoid skipping meals, and consider Magnesium or Riboflavin (Vitamin B2) supplements, which have clinical evidence in reducing migraine frequency..
Environmental Shields: , use photochromatic or blue-light-blocking glasses if you work long hours under bright lights.
Mandatory Consultation: Because your pain is "endless" and unresponsive to Naxdom, a formal clinical consultation with a Neurologist is mandatory. You need a personalized prophylaxis plan and potentially an MRI to rule out other causes for such long-standing unilateral pain
Health Tips
DO CONNECT AND CONSULT WITH ME FOR BETTER TREATMENT PLAN AND ADVICE.....
you don't have to just 'endure' this pain.
Book a consultation so we can move you from 'emergency mode' to a 'prevention plan' that gives you back your quality of life."
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Permanent cure won't be there better to avoid huge noises and high light exposure. Wearing a photochromatized glass may help
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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