Posted by Vincent_QC on October 23, 2012, at 17:20:02
In reply to Re: Propranolol, anxiety and many other subjects... » Vincent_QC, posted by phidippus on October 23, 2012, at 16:08:33
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> Have they determined whether this is a neuralgia, like a trigeminal neuralgia?
>Had a MRI of the brain back in 2010 and it was ok... My Doc think it's temporomandibular joint disorder OR tension headache from the nerve of arnold.
Had 2 cortisone nerves block at the base of the neck and no decrease in pain so that's why he send me see a Neurologist.
> 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.
>The only one I never try is Carbamazapine, they all work on the gaba mostly... Lyrica and Gabapentin don't mix well with Benzo meds, already take 7 mg of Klonopin a day, make me dizzy and do nothing for the pain.
Valproic acid was a bad experience, don't mix well with Benzo as well...
> Tricyclic antidepressants, such as amitriptyline, nortriptyline (Pamelor) and protriptyline (Vivactil) are often prescribed for headaches.
>Can't tolerate the tricyclics, they all make my heart race at the speed of light, remember that on a small 10 mg dose of nortriptiline I had a heart rate of 160 at rest and it was before I had the extreme anxiety problem I have right now and at the time had no heart problem with meds... Parnate and Nardil exceptions of course...
Elavil up to 100 mg was a little less hard with my heart rate but did nothing to improve the pain as well...Imipramine and Clomipramine both make my heart race very fast to a dangerous level and all increase my anxiety...
> Preliminary research suggests that one SNRI, venlafaxine (Effexor, Venlafaxine HCL), may be helpful in preventing migraines.
>To avoid with me, same with Cymbalta and Pristiq, everything who hit the NE lead to increase anxiety, like I said before, before 2010 I had only social phobia and occasionnal panic attacks once in a while, and the Effexor-xr made me so anxious and agitated that I increase my Xanax intake to 12 mg day and had to go in rehab for that...well enter to the rehab but get out cause I wanted to do it by-myself... and it was a great idea, I was able to withdrawal slowly the Xanax with the help of Valium, using the Ashton professor method... my dose was more than 400 mg a day cause it's an extended release and I had a gastric by-pass to loose weight so I have very short intestine and slow release, matrix release or extended release meds don't work well for me...
> 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.
>Just be approved by Health Canada and that's what I ask to my Doc, I want it, really feel like injecting botox on both temples of my head where the veins hurt will help, also in the jaw and at the base of the neck... sadly, it's not cover by inssurance, the cost for 1 treatment is around 700$, I know they inject at more than 25 places on the head... Studies show a 50% success, half improve and half feel nothing or have worse headache after the initial treatment. My Doc said also that the Neurologist here in the Canada are not very comfortable to use it since it's new and it's very hard to find a Neurologist who will want to give that type of treatment. Where I live, only 1 Neurologist give that treatment but only when everything else fail...
> 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.
>Never try them, should ask the Neurologist. Thanks for the informations ;-)
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> 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.
>I ask my Cardiologist about that one and he said a big no... alpha 1 antagonist will lead to increase heart rate since they lower the blood pressure and the heart have to try a way to keep the control so reflex tachycardia is the way it goes... He said the heart get used to it and slow down but the main goal for me is to reduce the fast heart rate especially in the morning and also to keep my heart rate normal in stressfull situation like when I have to get out of the house...
I heard that a calcium channel blocker like Verapamil can be good for both tachycardia and migraine...but can cause more headache as a side-effects...since I dont think I have migraine ( I dont answer to triptan)... so have to ask if it will cause more headache...
> Also Mexilitine may kill two birds with one stone: lowering your heart rate and treating your headpain-its basically lidocaine in pill form.
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> EricNever try it, will ask my Cardio Doc for sure... well try the lidocaine but to numb the skin only...
Thanks for your informations, I appreciate it ;-)
poster:Vincent_QC
thread:1029417
URL: http://www.dr-bob.org/babble/20121018/msgs/1029609.html