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I've tried meds in the past without much help. I've tried daily Verapamil. And, as needed, I've used imitrex pills and shots, Amerge, Zomig, Torodal none of which worked very well, but they did take the pain level down enough so that I didn't feel "suicidal" anymore. Anyone who has had bad migraines knows what I'm talking about. It's a very scary place to be. Now, since I know my migraines will last 48 hours no matter what I do, I will take 2 Motrin(ibuprofen) every 8 hours to stay below the "suicidal" pain level until it is gone.
Sometimes a migraine will show up immediately as with cigarette smoke and sometimes it will show up after a few hours like after an offending chemical(preservative, pesticide) is digested and gets into your bloodstream thus causing the bloodvessels to inflame which causes pain(migraine). Get to know your body and what it is telling you. It takes time but it works. I'm NOT a doctor but I have learned from 14 years of experience with migraines. Check out WebMD and type in Multiple Chemical Sensitivity(MCS). There's no cure but there are things you can do with some awareness. Look for patterns in your migraines. Keep a detailed journal about your activities and also everything you consume. It just might help.View Thread
I am currently taking 10mg oxycodone. My doc wants to change me to 15mmg MSIR. Which of these is stronger? And is it just a little stronger or a lot stronger? I don't want to walk around like a zombie, but do want my pain controlled as I am dealing with spinal arthritis, RA in knees and hips and fibromyalgia. A real triple whammy!
Thank you for your help with this quandary.View Thread
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The WebMD Community StaffView Thread
I have had migraine headaches since I was a child. Nothing they gave me helped until now.
I've been in horrible pain, as anyone who has them knows. Years and years of pain is terrible thing. I have fibromyalgia and RA and have tried some of the medicines that they wanted to give me. I'm very afraid of them and would not have tried just one more if I had not been in so much pain. They started me on Cymbalta for my fibromyalgia - this too has sick affects as they all do but after a month on it, I did feel better.
The RA was still pretty bad but I was able to move a little better and something else happened. I DIDN'T HAVE ANY MIGRAINES.... truth - in the three months I've been on this I have had one pretty bad headache but this too went away in about an hour. That was the only one that was even close to be a "real" migraine.
My arthritis isn't good, I suffer a lot, especially if I try to be "normal" and carry heavy bags in from the store or garden too much or clean the house the way I used to. It's sad because I've always been active, but not anymore.
I just wanted you to know what it did for my migraines. I don't know why and I can't say it would do the same for you but you might ask your doctor about it and maybe it would help all of you that suffer from the horrible migraines. I hope so for all of us.View Thread
Chronic daily headache is defined as more than 15 days with headache in one month, so you don't have to have headache every single day to have this diagnosis. It does require injection into mutiple places in the head (25-30 places, very small amounts in each place)
I have not heard anything from the major insurance companies here in North Carolina about authorizing the use for Botox. Most of them were not paying for it in the past. We are still waiting for them to figure out how what the criteria are for using it (or for getting insurance coverage for it). One suggestion I've seen is that they may require a patient to have no response (or fail to improve) with at least 2 headache prevention medications.
How Botox works for headache prevention is not clear, but there is research looking into this (FYI, exactly how the other medications work for headache prevention is not understood either, so we don't really know why Topamax or Depakote work)
Botox has some potential side effects--It causes weakness in the muscles it is injected into. The weakness wears off, but it takes 3 months to wear off. So if you are injected with Botox and get a droop of the eyelid, it will be there for 3 months.
There are other side effects listed for Botox, but these are very very rare when it is used for chronic daily headaches, and I haven't personally seen them in my patients.View Thread
So last year I totalled my car (nothing to do with migraines) and when they took my blood pressure in the ambulance they wanted to transport me RIGHT NOW. I hate the local hospital and refused, but agreed to go see a doctor, so I did go straight to a friend who is a nurse practioner. She prescribed 2 blood pressure medicines which worked and as an amazing miraculous side effect, I have not had a migraine since. I have been on 2 vacations without them. Holidays without a migraine. I wish I had been taking them all my life. I take 100 mg of metoprolol and 20 mg of lisinopril daily. I have always taken both so I don't know if it is one or both of them. They are $4 a month drugs at most pharmacies. I know you can't make your drs give you a medicine, but you can ask.View Thread
Check out this article on a recent research showing warm weather may be the biggest weather related headache trigger there is and find out what helps.
Read full article here... View Thread
You buy it in sheets and then put them in water until they puff up. Then carefully cut between the rows and cut it into strips. Then get some handkerchiefs and roll the strips into them and freeze them. You can wrap them around your neck or head. Sometimes when I feel generally lowsy when I wake up even in the wintertime I put an ice wrap around my head and I feel better that day.
If you're getting a migraine wrap the ice wrap around your head and you might feel better. Not if you have a really bad one but on a "yucky" kind of day when you are ok to function.
They even have some dry ice ones but I'm not sure if that works the same. They sell the ice sheets at fairs but you can go to their website which I'm not going to put up.View Thread
DjkView Thread
The ice wrap is a strip of special polymer that doesn't leak which I soak in the sink until they puff up. Then I cut them into strips (they come in sheets) and wrap them in a bandana and freeze. I usually wear one around my neck and one around my head. It also helps my headaches even when I'm inside.View Thread
To survive this I have started adding about a teaspoon of straight lime juice to my glass of water. Gives it a tang and makes it less boring allowing me to stay hydrated and have less risk of a migraineView Thread
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Yours in Health, The WebMD Community StaffView Thread
Your reply would be greatly appreciated. Thanks TanjaView Thread
The dose is important, so your doctor has to be familiar with both the "normal" dose and the maximum dose. (A dose that is too small may not work, even if you take it for a long time)
Propranolol--this is a "betablocker" type of blood pressure medication. Atenolol and nadolol are similar medications
Verapamil--this is a "calcium channel blocker" type of blood pressure medication. We usually prescribe the 24 hour long lasting capsules, but it comes in a less expensive immediate release version.
Divalproex Sodium--This is the generic name for one of the common medications used for migraine prevention (you can look up the brand name). It is pretty important to be on the 24 hour extended release tablets of this one, because the side effects are much less common with the extended release version.
Topiramate--This is the generic name for a common medication used for migraine prevention. Many people like this because it can cause modest weight loss in 1/5 people who take it. It also causes tingling in the hands in more than 50% of people who take it. It is important to start at a small dose and go up slowly to avoid side effects
Nortriptyline (and Amitriptyline)--These older medications can work at relatively low doses for migraine prevention. They were originally used to treat depression, but at much higher doses than we use for headache prevention
Trazodone--This is another older medication originally used for depression. It is pretty sedating, and can really help patients who have trouble sleeping and frequent headaches.
Gabapentin--This is helpful for some headache patients, but usually a 2nd or 3rd choice medication for headaches. Because it is also used for fibromyalgia, back pain and neuropathy pain, some patients may take it for more than one problem. Doses up to 3600 mg/day are "normal". It has no medication interactions, so is safe with other medications.
Pregabalin--this is the generic name of a medication that has been advertised heavily for diabetic peripheral neuropathy. It can help with headaches. It is often used with other medications haven't worked.
Zonisamide--This is a generic medication that is used to treat epilepsy (like Topiramate, Divalproex, Gabapentin, and Pregabalin). It can cause weight loss and tingling like Topiramate, but is less likely to cause memory problems. If you are allergic to Sulfa mediations, you cannot take it.
Levetiracetam--This is the generic version of a medication used to treat epilepsy. Its sometimes used for people with chronic daily headaches.
Tizanidine--This muscle relaxer is sometime used for headache prevention, usually in patients with chronic daily headaches, or tension headaches.View Thread
I WAS TOLD BY MY NEURO-OPTHAMOLOGIST THAT I HAVE A BULGING IRIS LIKELY DUE TO TOPOMAX.
I STOPPED THE MEDICINE IMMEDIATELY (WHICH YOU ARENT SUPPOSED TO DO, I HAD MILD ANXIETY ATTACKS FOR A COUPLE WEEKS AFTER).
NOW IF THE EYE DROPS FOR 7 WEEKS DONT HELP, I'LL HAVE TO HAVE A HOLE LASERED IN MY IRIS... YIKES.
JUST BEWARE, IF YOU START HAVING ANY VISION PROBLEMS WHILE ON THE TOPOMAX TO NOT COUNT IT AS JUST GETTING OLDER OR WHATEVER, IT COULD BE A SYMPTOM OF EYE PROBLEMS CAUSED BY THE TOPOMAX.View Thread
There are very few studies of supplements for headaches, but there are 2 or 3 things that do have pretty good evidence for migraine prevention:
Vitamen B2 (riboflavin)---this works OK for headache prevention, but you have to take 200 mg twice a day for it to work. There was a clinical trial in 1996 that showed this was better than placebo at migraine prevention.
Butterbur Root Extract (also called Petadolux, plant name is petasites hybridus)--There was a nice stude in 2004 that showed this was effective for migraine prevention. The dose is 50 mg 3 times a day (or 150 mg/day). This occasionally causes an upset stomach, but I have not had other complaints of side effects from patients.
Co Enzyme Q10: This had a nice study done in 2004 showing it was effective for headache prevention. Unfortunately they used a form not on the marked. I've suggested using 100 mg 2 or 3 tiems a day to patients. This medication is kind of expensive, so not very many of my patients have tried it.View Thread
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