Reader’s Mail: How Long Is Botox Effective?

Q. I have suffered with migraines lasting a minimum of five days at least once every month for most of my life. I am taking propranolol, nortriptyline and topiramate to help prevent these headaches and I take Imitrex injections for the pain. Taking the Imitrex has been particularly dangerous for me because I suffer from high blood pressure and take lisinopril, but there has been no other recourse.

Then this past April I had a couple of Botox (botulinum toxin) injections for the migraines. Since then, I have not suffered with another migraine. This is the first time I have been migraine-free for this long for as long as I can remember.

My question is, how often should Botox injections be repeated to prevent migraines from reoccurring? Continue Reading


Benign Intracranial Hypertension

Benign Intracranial Hypertension or pseudotumor cerebri is a condition of increased intracranial pressure for which no specific cause has been established. Extensive diagnostic testing often proves to be inconclusive. Some physicians feel the condition may be due to menstrual dysfunction, hormone deficiency, hypothyroidism, or excessive intake of antibiotics or Vitamin A. Continue Reading