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Selective serotonin reuptake inhibitors (SSRIs)
Your doctor may prescribe a selective serotonin reuptake inhibitor (SSRI) to help prevent your headaches. SSRIs have shown some effect in preventing migraine and tension-type headaches in some people, especially chronic headaches. The drug might have beneficial effects on mood, appetite, and memory. Generic and brand names of some SSRIs given to prevent headaches: fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft).
SSRIs usually take several weeks to become effective. Therefore, you should take them for at least a month to determine their effectiveness. Usually, patients take this medicine in the morning to prevent insomnia. Your dosage will be determined by your doctor. Tell your doctor if you have a history of seizures, bipolar disorder, kidney disease, or suicidal tendencies.
Side effects include nausea during the first week of therapy. After the first week, most patients note a change in appetite, and 5-to-10-pound weight gain is common. Some people note an increased energy level. If the increase is too great, people sometimes complain of anxiety, insomnia, diarrhea, or sexual dysfunction. Call your doctor if you develop a rash while taking an SSRI.
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