Discussions that mention bupropion

Inner Ear Disorders board

[FONT="Arial"]Hi Howie,

I previously wrote on another thread about a great recording I paid for and downloaded on migraine treatment by James U. Adelman, MD (recorded in Jan 08). He is at the Headache Wellness Centre in Greensboro, North Carolina. This guy is on fire in terms of understanding treatment.

Anyhow, I'm not trying to second guess anything your doc is doing for you but keep in mind what this guy had to say about treating migraine – it's all he does 24/7. These were some of the things he mentioned which also reflects what Hain has to say:

[INDENT][SIZE="4"]Calcium channel blockers: good for cluster headaches, [SIZE="4"]not good for migraine; use doses higher than those for treatment of hypertension; may be effective if aura prominent feature; in studies, verapamil and amlodipine took up to 3 months to achieve effect.

[SIZE="4"]Other antidepressants: SSRIs and bupropion not effective in migraine; [SIZE="4"]venlafaxine (Effexor) effective; in study, patients with anxiety benefitted from duloxetine; monoamine oxidase inhibitors effective, but have numerous side effects. Surprisingly, Cipramil (citalopram) did work for me although perhaps the SSRIs are more effective for vestibular migraine.

[SIZE="4"]Beta-blockers: all effective; propranolol most commonly used, but [SIZE="4"]speaker prefers atenolol (inexpensive; can be given once daily, typically at night; fewer side effects). In studies, 45% to 60% of patients reported 50% reduction in headaches.[/INDENT]

Hope you're feeling well. I've come off Cipramil completely now ... been free of it for 2 weeks but have some break-through dizziness. Pretty much no anxiety though which St John's Wort is working on very well. But it appears Cipramil worked on the dizziness in a separate way. Sort of proves that the anxiety component is a separate matter. If I cannot stabilse this thing, my next effort will likely be atenolol followed by Effexor (low-dose).

Best ... Scott :cool: