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Menstrual migraine and SSRI

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manon45
manon45

Hi all! I have a big problem since a have severe migraine attacks of four days when I have my period en can’t take anything else then paracetamol since my neurologist doesn’t want to give me a triptan because of possible serotonine syndrome. also breastfeeding but j expect that is over soon . Does anyone has some advice what to do or what to take?? What do you take for serious menstrual migraine. I feel desperate. Kind regards Manon from the Netherlands. 45 years old. thank you!!!

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1 Reply

  • Spaniellover
    Spaniellover manon45

    Posted

    hi. I'm from the UK so protocol could be different but I also take an SSRI (paroxetine 30mg) and I also use a Triptan (sumatriptan 50mg) on approx 3 days per week. The risk of serotonin syndrome is incredibly small but as a precaution, if I wake up with migraine I skip the SSRI until later in the day. I also use codeine, paracetamol and ibuprofen as a back up if the sumatriptan isn't working, so further adding serotonergic meds. I'm still here and no adverse events. I think your Dr is being over cautious.

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