I am 59 years old and suffering from headache /migraine everyday at noon.
Paracetamol does not work, only sumatriptan 85 mg is get relief daily.
Please advise me what to do?

Question

Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Your acute attacks are very frequent so you should start preventive medications.
For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tips on Medication Overuse Headace) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke.
4. Exercise daily (aerobics and cardiovascular)
5. Identify your headache trigger and try to avoid it.
6. Do pranayam daily.
7. Acupuncture treatment has shown some benefits in migraine.
You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem.
Consult again for further queries.

Poonam Patel Vasani · Accepted Answer

Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Your acute attacks are very frequent so you should start preventive medications.
For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tips on Medication Overuse Headace) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke.
4. Exercise daily (aerobics and cardiovascular)
5. Identify your headache trigger and try to avoid it.
6. Do pranayam daily.
7. Acupuncture treatment has shown some benefits in migraine.
You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem.
Consult again for further queries.

I am 59 years old and suffering from headache /migraine everyday at noon. Paracetamol does not work, only sumatriptan 85 mg is get relief daily. Please advise me what to do?