About the Condition
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Has a certified medical practitioner examined you with migranes?
Have you experience the following?
Seizures or epilepsy.
Stroke.
Any type of vascular or cardiovascular disease.
Ulcers in the stomach.
Do you experience the following?
Vaginal bleeding that is abnormal.
Gallstones problems
Diabetes condition
Migraines
Blood pressure that is too high.
A blood clotting disease, often known as a blot clot.
Porphyria
Breast issues
Have you experienced the following signs and symptoms?
Headache that is severe
Tiredness or befuddlement
Problems with vision
Pain in the chest
Breathing problems
Irregular heartbeat is a condition in which the heartbeat is irregular.
Urine with blood
Your heart is pounding in your chest, neck, or ears.
If you do, please provide as much information as possible about your symptoms.
Do you have a history of using Imigran Nasal ?
If you do, how successful was it?
Can you relate to any of the following statements?
You have or have had stomach or duodenal ulcers, as well as stomach or intestinal bleeding in the past.
Your doctor has ever told you that your kidney function is less than 100 percent.
You have previously suffered a terrible reaction to aspirin, ibuprofen, or other nonsteroidal anti-inflammatory drugs (NSAIDs).
You want to use Ibuprofen Gel on skin that is fractured, injured, diseased, or infected.
Do you have a history of using Maxalt Melt ?
If you do, how successful was it?
Do you have a history of using Migard Melt ?
If you do, how successful was it?
Do you have a history of using Propranolol ?
If you do, how successful was it?
Did you know that propranolol should be used frequently to minimize the frequency of attacks instead of treating them?
Any breakthrough migraine attacks will still require an immediate treatment, such as a triptan or painkiller.
Kindly choose from the following migraine remedies which ones you have previously tried:
Kindly select your option
Please identify the remedies from the list below that worked?
Are you using any of them to treat migraines?
Do you have asthma, wheezing, or breathing problems, or do you need inhalers?
Inhalers that relax your airways can be inhibited by propranolol, meaning that a reliever (blue) inhaler may not be useful in the event of an asthma attack or trouble breathing. This can be extremely hazardous. If you use an inhaler or have a condition that affects your breathing, you should not use Propranolol.
Do you consent to have your pulse checked atleast once a month while on propranolol?
If your pulse is less than 40 beats per minute, you should see your doctor.
Here's where you can learn how to take your pulse.
Did you know that?
If your condition does not improve after four weeks, you should consult a doctor.
You must not use Enstilar on broken skin or beneath a bandage.
You cannot use Enstilar aound the eyes or on the eyelids.
Do you have a history of using Rizatriptan ?
If you do, how successful was it?
Do you have a history of using Sumatriptan ?
If you do, how successful was it?
Can we share this information with your General practitioner?
Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.
Can you relate to any of the following?
You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function
Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.
For which duration have you been plagued by migraines?
Please select your option
Do you require assistance?
How frequently do you get migraines?
Please select your option
Kindly identify some of the symptoms you experience
You can select more than one option
Do you have a history of using other medications to manage the migranes?
If so, what druigs were used and how successful were they?
Do you use the pill as a method of contraception?
If you do, please tell us which medication you take.
Do you have a history of dealing with the following conditions:
Seizures or epilepsy
Stroke.
Any type of vascular or cardiovascular disease
Ulcers in the stomach
Are you experiencing any of the following problems:
Myasthenia gravis is a kind of myasthenia.
Porphyria.
Lupus erythematosus (SLE), is a type of lupus that affects the entire body
Are any of the following signs and symptoms familiar to you?
Headache that is severe
Tiredness or befuddlement
Problems with vision
Pain in the chest
Breathing problems
Irregular heartbeat is a condition in which the heartbeat is irregular.
Urine with blood
Your heart is pounding in your chest, neck, or ears.
If you answered yes, please provide as much information as possible about your symptoms.
Do any of the following symptoms accompany your headaches:
They only occur as a result of a brain damage.
In 5 minutes or fewer, they reach their peak intensity.
They occur in conjunction with a loss of speech, feeling, strength, or awareness.
They appear in conjunction with a fever or stiff neck.
They're accompanied by tenderness in the area of your temples.
If you do, please be as specific as possible about your symptoms.
Are you aware that you should seek further medical assistance if you begin to experience the folowing symptoms
Do you have a history of using Almogran or Almotriptan?
If you do, how successful was it?
Are you on any of the following medication?
Antibiotics.
Antihistamines such as stemizole or terfenadine.
Cisapride for stomach discomfort.
Quinidine for circulatory problems.
Pimozide for schizophrenia.
Did you know that:
A healthcare practitioner should assess any acute injuries.
You should see your doctor about chronic pain at least once a year.
Can you relate to any of the following staements?
You're allergic to almotriptan or other triptans, or you're hypersensitive to them.
You've previously used almotriptan and experienced major adverse effects.
You're using almotriptan for something other than a migraine.
What is your biological gender?
Please select your option
If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option
Do you have a history of using Zolmitriptan?
If you do, how successful was it?
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