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Asked for Female | 34 Years

Is Propranolol and Topiramate causing mental health issues in retinal migraine treatment?

Patient's Query

My wife has been recently diagnosed by one of neurologist a retinal migraine issue, she faces migraines headache in 2 or 3 months once only. Now the doctor has suggested few medicines which I think is affecting her mental health. She is prescribed with propranolol 25mg daily twice, topiramate 20 mg daily twice Due to this she always feel sleepy, dizziness, harsh behaviours, mood swings, lack of appetite, lack of focus, lack of confidence, feels awkward cannot stay awake, cannot use mobile for long time, headache affects her head daily in the evening mostly. She is using these medicine since two weeks, before she doesn't have these issue. She only had a migraine and she once had a spot in her right eye which goes after a week. But she has a small lump behind her ear which doctor mentioned it as a swellon nerve. Kindly please suggest is she getting correct treatment because her Condition is getting worse day by day in terms of mental health. She has a family history of migraine her mother and sisters.

Answered by Dr. Gurneet Sawhney

Propranolol and topiramate sometimes result in symptoms such as drowsiness, lightheadedness, mood changes, and an inability to concentrate. You or she must discuss this with the neurologist who prescribed these drugs because they could fix this issue by adjusting dosages or prescribing different medications that would be effective against migraines without affecting mental stability. If the lump located at the back of her ear is not yet diagnosed then it should also get checked into by the doctor to find out if there might be any connection with other signs.

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Questions & Answers on "Neurology" (529)

Answered on 23rd May '24

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My wife got head pain from one month and we use specs then to not cure

Female | 34

Head pain lasting a month requires proper medical evaluation.
Specs can't cure it.

Answered on 23rd May '24

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Answered on 23rd May '24

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He can't walk carefully he falls down,he can't set on the floor he set on chair,he can't speak clearly and he is physically so weak he 7 years old.his weight is 17kg and his height is 105cm

Male | 7

Some kids have difficulty with movement and speaking clearly. This can stem from various reasons. One possibility for a child this age is a neuromuscular disorder, which affects the muscles and nerves involved in movement and speech. It's crucial to take the child to a pediatric specialist for tests to determine the exact cause. Meanwhile, ensure the child gets plenty of rest and proper nutrition. Avoid activities that risk falls or injuries. Addressing symptoms promptly helps the child feel better and stronger.

Answered on 26th July '24

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Sir, I have headache like tight band with nausea,stress,tension. Sir,Please give me some medicines for relief.

Male | 17

I see that you have a tight band headache around your head and feel like vomiting because of anxiety and stress as well. These signs might mean that you have a tension-type headache; typically caused by bad posture at work or eyestrain from looking at computer screens all day long. You could take some painkillers such as paracetamol or ibuprofen to help relieve the pain in your head. Moreover try and calm down by breathing deeply plus drink lots of water. If this feeling doesn’t go away please go see a doctor so they can check it out.

Answered on 28th May '24

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I wanna try to get scanned for a brain tumour, this thought has gone as far back as grade 8 and I know this is out of proportion insane but I mean at first it started with the moments of feeling like I was getting dumber instead of smarter, not like beating myself up but just the actual feeling of losing information Then it was the foggy memories, messed up timeline, all of which I just kinda blamed on Parasomnia Then it was the derealization, the feeling of my grip on the world was leaving me and I’ve just tried so hard to fight it The change in my thoughts I mean I’ve become borderline obsessive, bi polar at my worst and even just thinking of life differently I mean in grade 9 I even just lost so much sense of fear, I started being way more reckless than before Honestly I wouldn’t be surprised if it was what helped Mono attack my body harder I mean looking at symptoms yeah I only have the less severe ones but even loss of hearing and vision change has kinda set in I’ve heard stories of people who didn’t bother to check man and it just makes me afraid that I’m a ticking time bomb until the time someone sees me faint and not wake up Today in class I got, so, so lightheaded, and I just feel this impending doom sitting on my chest man

Male | 15

I would recommend you to book an appointment with a neurologist to detail your symptoms and worries regarding the potential brain tumor. He can perform extensive evaluation and diagnostic tests to determine the source of your symptoms. It is not advisable to wait until the time runs out and an early diagnosis will help you have a different outcome.

Answered on 23rd May '24

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I have been diagnosed with bells palsy for the past 2 weeks, so I want the best medicine?

Male | 24

For bells palsy consult a neurologist from a well known hospital in India or ENT specialist, for personalized treatment. There are a few common treatments like corticosteroids to reduce inflammation, eye care to protect the affected eye, and possibly physical therapy. There's no one size fits all medicine for this condition, so follow your doctor's advice for the most effective treatment plan for your needs. 

Answered on 23rd May '24

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Facial paralysis.. can't eat.. Headache... Eyes infection...

Female | 20

Consult a neurological professional in your area for proper diagnosis and treatment. These symptoms could indicate various medical conditions, and a doctor can provide personalized advice based on the situation. Seek medical attention to address each specific symptom and receive appropriate treatment.

Answered on 23rd May '24

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Who deals with complex trauma tbi cases

Female | 36

People­ with complex trauma TBIs commonly visit neurologists. These­ brain doctors treat symptoms such as headaches, me­mory issues, and concentration troubles. 

Answered on 23rd May '24

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If I don’t say something immediately I will forget it after

Male | 13

If you often forget things quickly, it could be due to something called short-term memory loss. Symptoms include difficulty remembering recent events or information. This can happen due to stress, lack of sleep, or not paying attention. Try to practice good sleep habits, reduce stress, and pay attention when you learn new things. Writing things down can also help you remember better.

Answered on 23rd May '24

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