Thursday, January 23, 2020

Propranolol For The Prevention Of Migraine Headaches

Introduction
The searing pain of a migraine headache descends on you while you are at work. The pain is so excruciating that you can’t function, and you need to go home. This is the third time this month this has happened, and you are worried about how this is going to affect your job. A coworker tells you about a drug called propranolol. She says it works great for her, but you are leery of drugs and need to know more. What is propranolol, and how does it help migraine headaches?

Migraine Headaches; Causes, other symptoms, and treatment


Migraine Headaches

Migraines are the second most common type of headache in the United States. In 2009 the Centers for Disease Control and Prevention reported that 10% of men and nearly 22% of women suffer from migraines or severe headaches. Of those roughly 38% fit the criteria for preventive therapy, but less than 13% actually use it.

The pain of a migraine usually begins gradually and can last hours. Often light or physical activity worsen the pain, and many people seek relief by lying down in a dark quiet room. Other common symptoms that may accompany a migraine are nausea, vomiting and sensitivity to light and noise.
Migraines can be triggered by many things, including stress, menstrual periods, lack of sleep, hunger and certain foods.

Propranolol

Propranolol prevents migraine headaches. It is a beta-blocker, and beta-blockers have been shown to be reduce the frequency of migraines in 60% to 80% of people who use them.

Propranolol was originally used to treat high blood pressure. Of all the beta-blockers, propranolol has proven to be one of the most effective at preventing migraines.

Although there are other medications used to prevent migraine headaches, propranolol is a good choice for people who have high blood pressure, heart disease or anxiety.

Dosage

The dosage that has been shown to be most effective is between 120 mg to 240 mg. Your doctor may start you off with 80 mg daily and monitor how well that works. Most likely your dose will be gradually increased until you have a satisfactory response.

Propranolol comes in two formulations, a short acting tablet and an extended-release capsule. The daily dose does not differ between the two, but with the extended-release formulation you will need to take fewer capsules.

Precautions

Propranolol is not without risk. Many people cannot tolerate it and end up switching to another drug. It can also mask the signs of hypoglycemia and should be used with caution in diabetics.

In some people with asthma, the use of beta-blockers can initiate an asthma attack. In general, those with asthma should not use propranolol.

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Adverse Effects

The most common adverse effects reported with propranolol include fatigue, depression, nausea and insomnia In men it may cause impotence.

Source: http://m.edtreatmentindia.com/

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