Migraine treatment in Noida. Dr. Kapil Singhal (DM AIIMS) at Medanta Hospital manages acute and chronic migraine with triptans, preventives, and Botox. Team Sushrut, Sector 50.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Moderate to severe pulsating headache, usually one-sided
Title
Nausea and vomiting
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Sensitivity to light (photophobia) and sound (phonophobia)
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Aura (in 30%): visual zigzag lines, flashing lights, temporary visual field loss, numbness, speech difficulty
20–60 minutes before headache
Title
Postdrome
fatigue, neck stiffness, difficulty concentrating after headache resolves
Treatments
Title
Acute treatment
oral triptans (sumatriptan, rizatriptan), NSAIDs, anti-emetics
Title
Preventive therapy (for frequent migraine)
topiramate, propranolol, amitriptyline, flunarizine, CGRP antagonists
Title
Chronic migraine
OnabotulinumtoxinA (BOTOX) injections every 12 weeks
Title
Lifestyle modification
regular sleep, meal timing, hydration, trigger identification
Title
Greater occipital nerve block for acute c
