Medication regimens may be tailored to your existing medical conditions. Treatment with an antidepressant or anticonvulsant does not mean you have depression or seizures they are intended to stabilize the central nervous system and raise the threshold at which attacks are triggered. Preventative mediations can include a beta-blocker (e.g., propranolol), calcium channel blocker (e.g., verapamil), antidepressant (e.g., nortriptyline, venlafaxine), and/or an anticonvulsant (e.g., topiramate). Medications may be prescribed to prevent episodes if avoiding triggers does not help control symptoms. Stress relief and improving sleep hygiene may reduce the frequency and severity of attacks. One method to identify triggers is to keep a daily symptom journal with details such as waking time and bedtime, foods eaten, stress levels, and additional symptoms experienced. High amounts of certain fruits such as figs, red plums, bananas, citrus fruit, raisins, passion fruit.Alcohols such as heavier red wines, port wines, sherry wines, scotch, gin, and bourbon.Pickled and fermented foods (buttermilk, yogurt, sour cream).
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