Totally occluded mid cranial artery, headaches?

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    I have a totally occluded mid cranial artery. I have been suffering from headaches now for close to a year, which my doctor feels are more than likely migraines. He has tried Topamax and Norpramin (Despiramine), and neither helps. I am trying to find a medication that can be taken daily to prevent these migraine type headaches. I need the medication not to cause drowsiness or weight gain. I am very sensitive to the sedative effect of any medication. If it has the potential of causing drowsiness I will be tired. Thank you for your time, E. Mitchell.




    Dear E. Mitchell;

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    I’m a little confused by your description of which artery is occluded. Do you mean middle cerebral artery? Of course, you don’t describe the number of headaches per month, but you are seeking a daily medication, which might suggest more than 2 per week. There are many new prophylaxis (preventive) medications that do not cause drowsiness, as desipramine can do that, and also cause weight gain. My strongest suggestion is to seek out a headache specialist in your area and discuss these issues in full.


    Good luck,
    John Claude Krusz and Teri Robert



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    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated March 13, 2010.

Published On: March 14, 2010