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Author: Admin | 2025-04-28
Nurse practitioner in person.Certain medical conditions mean it’s not safe for us to help you online and you should see a doctor or nurse practitioner in person. If you have a history of hemiplegic migraines (causing muscle weakness), uncontrolled high blood pressure, low blood pressure, seizures, kidney disease, liver disease, abnormal heart rhythm, heart disease, stroke, other cardiovascular disease, or are pregnant, we recommend that you see a doctor or nurse practitioner in person instead of using our service.If you’re currently experiencing the worst headache or migraine of your life, this can be a life-threatening emergency. Please contact 911 immediately or go to your nearest emergency room or hospital.Acute treatment to relieve the pain of a migraine: sumatriptan or rizatriptan for acute treatment of migraines. [Sumatriptan and rizatriptan are both FDA approved for the acute treatment of migraines - IVE, I think we don’t have to say that here]Preventative treatment to avoid future attacks - topiramate, amitriptyline, propranolol, and metoprolol. Topiramate and propranolol are FDA-approved to prevent migraines. Amitriptyline and metoprolol are not FDA-approved to prevent migraines, so the way we prescribe them is ‘off-label’.Nausea medicines - metoclopramide and ondansetron. Metoclopramide and ondansetron are not FDA-approved for the treatment of nausea related to migraines and we prescribe them ‘off-label’.Our consultation fee is $25. The cost of each medicine is typically $60 for a 3 month supply.The quantity of medicine you’ll receive with each 3 month supply varies depending upon what category of migraine treatment you’re taking. Preventative treatment is a
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