If I were you, I'd have your doctor put you on some conventional migraine medication and slowly increase the dosage until its effective for you (assuming you don't have any serious side-effects, of course). Generally, neurologists will start you off on a low dose of Topamax, and if this doesn't work, move onto other medications--such as Inderal (Propranolol). My blood pressure runs on the low side, so if yours does not perhaps you can tolerate much more Propranolol than I can. Hi, sure sounds like it could be your version of a migraine. Propranolol (Inderal) is a good preventive, and a variety of triptan drugs are good abortive drugs. Keep in mind that everyone is different in their tolerances and reactions to meds. I have found that oftentimes, the Propranolol will not take effect until two hours later and sometimes not at all. But, there's enough out there that something should help. There is a specific antiemetic called Metoclopramide that helps with migraine pain as well as nausea and vomiting. Since Metoclopramide helps with migraine pain as well as being an antiemetic, it can be taken on its own as an acute migraine medication. Usually Metoclopramide is prescribed with another migraine medication though, such as a triptan or an analgesic. These are the "usual" first line and second line acute migraine treatments that pop to mind. Propranolol has several effects on the body apart as acting as prophylaxis for migraine and tension headaches. It comes in these forms: oral tablet, oral extended-release capsule, oral solution, and injectable. Propranolol oral tablet is only available in a generic form. Generic drugs usually cost less than brand-name versions. Propranolol oral tablet may be used in combination with other drugs. Propranolol reduces your heart’s workload and helps it beat more regularly. It’s used to: Propranolol belongs to a class of drugs called beta blockers. A class of drugs is a group of medications that work in a similar way. Zithromax sinus infection Buy cialis online new zealand Nolvadex to treat gyno Buy bactrim guinea pig Aug 17, 2012. “If you don't have the symptom right away when you skip a dose. I took the beta blocker propranolol for over a year for migraine prevention. Migraine. The initial dose is 80 mg Inderal daily in divided doses. The usual effective dose range is 160 mg to 240 mg per day. The dosage may be increased. The initial dose is 80 mg Inderal daily in divided doses. The usual effective dose range is 160 mg to 240 mg per day. The dosage may be increased gradually to achieve optimum migraine prophylaxis. If a satisfactory response is not obtained within four to six weeks after reaching the maximum dose, Inderal therapy should be discontinued. Propranolol, which treats high blood pressure, irregular heart rhythms, chest pain, and other heart symptoms, is also approved by the U. Food and Drug Administration (FDA) for preventing migraine attacks. Propranolol falls into the beta-blocker class of medications. Beta blockers reduce the frequency of migraine attacks in 60 to 80 percent of people. It is not clear, however, if propranolol affects active migraine, so it should not be taken to stop migraine attacks already in progress. Propranolol is available in multiple formulations, including tablets, liquid, and a long-acting time-release capsule. Propranolol is the active ingredient in Inderal LA, Inderal XL, and Inno Pran XL. Propranolol works by blocking certain receptors, known as beta receptors, in blood vessels. Initial dose: Immediate-release: 40 mg orally 2 times a day Sustained-release: 80 mg orally once a day XL sustained-release: 80 mg orally once a day at bedtime Maintenance dose: Immediate-release: 120 to 240 mg orally per day Sustained-release: 120 to 160 mg orally per day XL sustained-release: 80 to 120 mg orally once a day at bedtime Maximum dose: IR/SR: 640 mg orally per day XR: 120 mg orally per day Comments: -The XL sustained-release formulation should be administered once daily at bedtime (approximately 10 PM) and should be taken consistently either on an empty stomach or with food. -Dose titration should be done gradually until adequate blood pressure control is achieved. -The recommended dosing is the same whether used alone or added to a diuretic. -The time needed for full hypertensive response to a given dosage is variable and may range from a few days to several weeks. -While twice daily dosing of the immediate release formulation is effective and can maintain a reduction in blood pressure throughout the day, some patients, especially when lower doses are used, may experience a modest rise in blood pressure toward the end of the 12 hour dosing interval. This can be evaluated by measuring blood pressure near the end of the dosing interval to determine whether satisfactory control is being maintained throughout the day. If control is not adequate, a larger dose, or 3 times daily therapy may achieve better control. Inderal migraine dosage Beta Blockers in the Treatment of Migraine - Newport Beach., Inderal Dosage Guide - Valtrex australia May 20, 2018. Which medication will help stop you from getting migraines. Doctors will often start with the beta-blocker propranolol, the. About half of people will have half the number of migraines once they're taking the right dose. Choosing a Medicine to Prevent Chronic Migraine - WebMD. Propranolol dosage migraine - MedHelp. Propranolol Oral Route Proper Use - Mayo Clinic. Migraine prophylactic therapy should be considered in patients whose migraine. migraine. ii. For propranolol the usual starting dose is 20 to 40 mg twice daily. Oct 25, 2007. awareness, providing headache research and migraine research and resources for. A dose of propranolol up to 240 mg may be necessary. Find patient medical information for Inderal Oral on WebMD including its uses, side effects. It is also used to prevent migraine headaches and chest pain angina. The dosage is based on your medical condition and response to treatment.