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Hi all,
Just came back from the doc. When discussing my current treatment plan, we both felt that Topomax is working but it's not doing all that it could. Since I'm basically maxed out on dosage for migraines she suggested adding an additional med to my treatment plan. She prescribed a very low dose of propranolol (10mg) because she didn't think my blood pressure could handle more than that. My BP was 111/76 today so she said it was in the low end of normal. I don't think I've ever really paid attention to my readings but that's the first time a doctor has ever told me anything about my BP. However after reading up on the drug and it's uses for migraine prevention I'm finding that the suggested dose for migraine patients is much higher than 10mg. My question is, has anyone here had such a low dose prescribed, with or without another drug, and was it successful for you?

  1. Hi KarenHei,

    Thank you so much for your question and being part of the discussion forum!

    This may help, according to the American Heart Association, less than 120 systolic (upper number) and less than 80 diastolic (lower number) is considered normal blood pressure - it looks like you're good there!

    It's is common to take a combination of medications to help reduce migraine attack frequency and severity. And many times medication doses need to be increased slowly to get the maximum benefit from it.

    I've not taken that combination before, but have spoken with other patients who have had success with this. Keep in mind it can take up to 90 days before we see any improvement in our attack frequency and severity, and maybe longer when the dose is changed.

    Best of luck and keep me posted.

    1. I have just been prescribed propanalol 80 mg HCI once a day as a preventative. I was told by my Dr. that it would take a few weeks to fully work but I would still get break through headaches. This is my first try for a preventative so fingers crossed. My blood pressure at the time I went was 130/82 and I was in pain with a migraine at the time. I don't have high blood pressure.

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