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11 Aug

Migraine medication during pregnancy
Good day. Hoping you can help me please. I suffer from migraines. It became very severe during my first pregnancy 3 years ago and I had a migraine almost every week that lasted for 3 days. And it has continued however the frequency is not every week now but probably once or twice a month depending on triggers. I was prescribed Zomig this year and is has really worked wonders for me. It is very effective when I take it at the onset of a migraine. We are trying to fall pregnant and I am told that I can not use Zomig during pregnancy and I was now prescribed Trepiline 10mg and then to take panado for pain. My question is, is trepiline safe to use during pregnancy? ( I have done some googling and it appears to have risks). I would rather want to be sure. And what I can use for migraines during pregnancy
Headache expert

23 Aug

My apoligies for not replying sooner - there was a problem with the Health24 website.

You should not use trepiline during pregnancy - the only medication you can use is Panado, which is not very strong.

There is only one way to approach the problem - it is essential to get a proper diagnosis by experts of what is causing the headaches. To get to the root of the problem, it is necessary to undergo an in-depth diagnosis to determine exactly where the pain is coming from. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the knowledge of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed. 

 This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal muscle tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain. 

To contact The Headache Clinic for an accurate diagnosis and effective treatment call 011 484 0933, or e-mail to

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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