Currently, there is no permanent cure for migraines, but they can be highly managed. For prevention (to reduce frequency), we use medicines like Beta-blockers (propranolol), Anticonvulsants (topiramate), Antidepressants (amitriptyline), or CGRP inhibitors. For acute pain relief during an attack, Triptans (sumatriptan), NSAIDs (ibuprofen), and newer Gepants are highly effective. Lifestyle adjustments also play a crucial role. Please consult a doctor for a personalized plan.

Sweating, a fast pulse, feeling cold, and low blood pressure can occur due to dehydration, anxiety, infection, or a sudden drop in blood pressure. Rest for a while and drink enough fluids to stay hydrated. If the symptoms continue, worsen, or are associated with dizziness or fainting, seek medical advice immediately. Consult a doctor to check your blood pressure and identify the exact cause of the problem.

Based on your symptoms of hand shaking that worsens with stress and activity, you may have a common condition called Essential Tremor. While I cannot prescribe medication online, the most frequently prescribed first-line treatments are beta-blockers (like Propranolol) or anti-seizure medications (like Primidone). These help reduce the shaking during tasks. Because these drugs affect heart rate and blood pressure, you must consult a doctor or neurologist for a proper diagnosis. They will evaluate your health and safely prescribe the right medication and dosage for you.

You should not stop taking your daily beta-blocker (propranolol) without consulting your doctor. Stopping this medication suddenly can cause a rapid heart rate or blood pressure changes. Your doctor will advise how long you need to remain on it. Your antihistamine (cetirizine) is typically taken as needed for allergies or congestion, and can usually be stopped once your nasal symptoms resolve. Since you currently have a headache and nasal congestion, please consult your healthcare provider. They can evaluate if these symptoms are from a common cold, sinus issue, or allergy flare-up, and safely adjust your medications.