Could metoprolol be causing an increase in Migraines?

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  • Full Question:

    I first started suffering with migraines when I was 30 years old. They always begin with a visual aura and when I was younger, I would get very sick with them. I am now 58 years old and the migraines have become less frequent and less severe as I have aged. However, I was prescribed metoprolol tartrate 50 mg twice a day a few months ago for high blood pressure. Since that time, I have had more migraines. I thought beta blockers were supposed to help them. They still are not severe, but more frequent. My blood pressure has been under control since going on the medication. Could the metoprolol be causing the increase in migraines? Kathy.

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    Full Answer:

    Dear Kathy;


    For some people, beta blockers can be effective for Migraine prevention. Unfortunately, they don't work for everyone and, yes, for some, they can cause an increase in Migraines. It's time to talk with your doctor about another type of antyhypertensive drug to control your blood pressure. There are other options such as calcium channel blockers and ACE inhibitors. If the doctor who treats you for hypertension isn't the same one who treats you for Migraine, it would be a good idea for them to consult on your medications, especially since many of the medications used to treat high blood pressure are also excellent for preventing Migraines.


    Good luck,
    John Claude Krusz and Teri Robert



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    About Ask the Clinician:

    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 May 11, 2012.

Published On: May 11, 2012