Hello dear See migrane requires comprehensive evaluation You are already taking sumitriptan which is best. In addition You can can yohibime tablet or pregablin. In addition propanol tablet is must required for complete regime. However for safety, Please consult first with your clinician for change or modification of medication Please donot stop or start any medication of your own to prevent side-effects or other consequences Regards
Hello Saiqa, thank you for sharing your concern. My advise would be to visit your treating physician as some red flags should be ruled out. So you get done a physical examination by your doctor. And he’ll manage accordingly.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine
You are 19 years old with a history of chronic migraine. You are experiencing:
Headache
Eye pain
Nausea
You have tried:
Sumoxen (triptan for migraine)
Painkillers
Dicloran gel on neck
…but none provided relief.
Summary:
Your symptoms are consistent with migraine, including associated ocular pain and nausea.
The lack of response to usual medications suggests either:
Severe or refractory migraine
Incorrect dosing or timing of medication
Trigger factors not managed (stress, sleep, diet, dehydration)
Your symptoms are consistent with migraine, including associated ocular pain and nausea.
The lack of response to usual medications suggests either:
Severe or refractory migraine
Incorrect dosing or timing of medication
Trigger factors not managed (stress, sleep, diet, dehydration)
Hello Eman I understand how frustrating it is when migraine pain doesn’t respond to usual medications like Sumoxen (sumatriptan) or painkillers, and even topical gels like Dicloran aren’t helping. When migraines become resistant to treatment, it’s important to look at possible reasons and next steps.
Possible Reasons Your Migraine Isn’t Improving - Medication Overuse: Frequent use of painkillers can sometimes make headaches worse (rebound headaches). - Incorrect Diagnosis: Sometimes, what feels like a migraine could be another type of headache (like tension-type or cluster headache), neck muscle spasm, or even a secondary cause. - Triggers Not Addressed: Stress, sleep changes, certain foods, dehydration, or hormonal changes can trigger or worsen migraines. - Underlying Medical Issues: Thyroid problems, anemia, or other health issues can sometimes worsen headaches.
What You Can Do Now - Track Your Symptoms: Note when headaches start, their pattern, and any triggers. - Lifestyle Measures: Rest in a dark, quiet room, use cold packs on your forehead, and stay hydrated. - Avoid Overusing Painkillers: Using them more than 10 days a month can worsen headaches. - Check for Other Symptoms: If you have vision changes, weakness, fever, neck stiffness, or the worst headache of your life, seek medical help immediately.
Rx- Ibuprofen + paracetamol- twice a day after food for 5 days Cap Pantop dsr - take empty stomach before breakfast once a day Tab. Montac Lc - once a day at night
Thank you
Given your symptoms—severe headache and neck pain on the left side, accompanied by eye pain and nausea—these could be indicative of a migraine. However, there are other possibilities like tension headaches, cluster headaches, or even more serious conditions such as cervicogenic headaches or issues with your cervical spine. That being said, if you’ve already tried Sumoxen (a sumatriptan tablet for migraines) and topical treatments like Dicloran gel without relief, it might suggest your headache isn’t responding to standard migraine or tension headache treatments. It’s critical to consider other potential underlying causes. One possibility to look into is that these symptoms could be signs of increased intracranial pressure or neurological issues.
Considering the lack of relief with common treatments, it’s important to take this seriously. You should seek immediate medical attention, particularly if you experience worsening symptoms or if this type of headache is new or different from your usual pattern. A healthcare provider will likely perform a physical exam and may order imaging studies like a CT or MRI scan to rule out serious conditions like an aneurysm, meningitis, or a brain tumor, although those are rare causes.
For now, keeping a symptom diary can be useful; note when the headaches start, how long they last, any potential triggers (like stress, certain foods, or caffeine), and their intensity. Ensure you stay hydrated, avoid potential triggers if known, and rest in a dark, quiet room during severe episodes to see if any self-help strategies make a difference. When visiting your healthcare provider, share this information, as it can aid in identifying the headache type and appropriate treatment. Ensure to mention any other accompanying symptoms, such as visual disturbances or sensory changes. Meanwhile, it’s crucial not to self-medicate further without professional guidance, especially if over-the-counter options haven’t been effective.
If migraine tablets and painkillers aren’t helping, the pain may not be a simple migraine—common causes at your age include tension-type headache from neck muscle spasm, cervicogenic headache, migraine variants, sinus issues, eye strain, or stress/sleep problems, which don’t always respond to NSAIDs. Do not keep changing painkillers; short-term relief may require muscle relaxants, anti-migraine preventives, posture/physiotherapy, hydration, sleep correction, and trigger control, chosen after proper evaluation. Please consult a neurologist (and an orthopedician/physiotherapist if neck pain is prominent) for examination and tailored treatment; seek urgent care if you develop fever, vomiting, vision changes, weakness, or severe worsening pain.
