Menstrual migraine and SSRI

Posted , 2 users are following.

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!!!

0 likes, 1 reply

1 Reply

  • 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.

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.