How long does it normally take to determine if a treatment isn’t working?


How long does it normally take to determine if a treatment isn’t working?  How patient should I be?

For most headache prevention treatments, it can take up to 4 weeks to see significant benefit (however some patients may see benefit at 1-2 weeks).  If at 4+ weeks there is no real headache benefit and if you are tolerating the medication/treatment well (as far as adverse effects) we would likely discuss adjusting your dosage.  Every patient is different and it’s just a matter of finding out what dosage of medication you respond to.  If you have reached a therapeutic dose for a few weeks and you do not feel it is helping, at that point we would make a change, discuss other options.

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– Dr. Molly Rossknecht

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