1. See a neurologist or headache specialist within the next 1–2 weeks (not general physician) — they will: • Confirm diagnosis (migraine vs tension-type vs mixed) • Assess for preventive therapy (you need it since attacks are frequent & disabling) • Give acute treatment stronger than Cetadom (e.g., sumatriptan/rizatriptan + anti-nausea) 2. Request work-from-home exemption / accommodation • Yes — you have a valid medical ground to ask for WFH (at least 3–4 days/week) or flexible hours. • Get a medical certificate from the neurologist stating: • Diagnosis: Migraine triggered by office environment (screen, light, air quality, stress) • Impact: Severe disability on office days → inability to work productively • Recommendation: Work-from-home or reduced office exposure • Submit this to HR — most companies in India (especially IT/corporate) accept such requests under disability/inclusion policies or as reasonable accommodation.

• Immediate relief on office days (while waiting for neurologist): • Take rizatriptan 10 mg or sumatriptan 50 mg at the first sign of aura/headache (much faster than Cetadom — ask doctor for prescription) • Wear blue-light-blocking glasses (₹300–800 on Amazon/Flipkart) for entire office time • Use noise-cancelling earphones (even without music — blocks chatter) • Keep dark sunglasses + small table lamp (warm light) at desk — reduces fluorescent glare • Drink 500 ml water every 2 hours + small snacks every 3 hours (prevents dehydration/hypoglycemia trigger) • Long-term prevention (neurologist will guide, common options): • Propranolol 40 mg or Amitriptyline 10–25 mg at night • Topiramate 25–50 mg or Flunarizine 10 mg daily • Lifestyle: fixed sleep, no skipping meals, 30 min walk daily, stress management You are not exaggerating — office-specific migraine is a real, recognised pattern and qualifies for work modification in most progressive companies. A neurologist’s letter + better acute + preventive therapy can make office days bearable again. For a detailed plan (exact preventive medicine choice, strongest acute treatment safe for you, wording for HR letter, and how to track triggers), please book an online consultation with me — I’ll review your full history (frequency, aura, associated symptoms, current medicines) and give you a clear, step-by-step strategy so you can get relief fast and get the WFH approval you deserve. Looking forward to helping you — let’s make office days migraine-free

✓check your vitamin D3,serum vitamin B12 and serum magnesium levels , deficiency of any of these can worsen your symptoms

Look for nasal block - if present use Otrivin drops

Steam inhalation

Maintain a headache diary to identify triggers (screen time, stress, travel, missed meals). Discuss temporary workfromhome or reduced office exposure if symptoms remain severe.

Avoid prolonged screen exposure,,take regular breaks every 30–45 minutes. Most important:Ensure adequate sleep, hydration about 4 to 5 litres water intake, and stick to food timings Do not overuse painkillers, as this can worsen headaches.

Yoga is a very good remedy to prevent such types of headaches

• Track triggers on office days • Check Hb, thyroid, Vit D/B12 • You may need preventive migraine meds (not just painkillers) • If frequent, a proper diagnosis can help you get medical advice for WFH/exemption A short consultation helps tailor treatment instead of guessing.

Avoid frequent Cetadom. Don’t skip meals. Hydrate well. Reduce screen glare. Prioritize sleep. If this is affecting work and quality of life, I’d suggest booking a consult — early treatment makes a big difference.