At the time of evaluation with the headache clinic, she was on topiramate, magnesium, combination of isometheptene
mucate, dichloralphenazone, and acetaminophen and as needed oxycodone, which she used 2-3 tablets per week.
For example, biochemical tests such as: Lysine decarboxilase, LSorbose acid, L-Proline acid, Simmons Citrate, Dulcitole, Sucrose, Lactose, Inositole,
Mucate, Esculine, D-Tartrate decomposition and nitrite to nitrate reduction (11).
A multicenter, double-blind, randomized parallel group study (8) showed no difference between the combination product isometheptene
mucate, dichloralphenazone with acetaminophen (Midrin, Duradrin, etc) (used as recommended in the package insert with a maximum of up to 5 tablets within 24 hours) vs oral sumatriptan (initial dose of 25 mg with a repeat 25 mg dose in 2 hours).
For example, biochemical tests such as: Lysine decarboxilase, L-Sorbose acid, L-Proline acid, Citrate Simmons, Dulcitole, Sucrose, Lactose, Inositole,
Mucate, Esculine, D-Tartrate decomposition and nitrite to nitrate reduction (11).