Expert Answer: Narcotic analgesics for migraine

Question: Do you recommend narcotic pain meds for someone who cannot take meds like Imitrex or Maxalt

There are various reasons why individuals cannot take triptans. Narcotics are sometimes used in this setting. However, narcotics are generally only modestly effective in the treatment of migraine, so they are not often used. Best to consult your doctor to find out if there are other classes of medications you can take other than narcotics which might be more effective.

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Comments

View Comments (25)
  • Laura Roether
    7 years ago

    I need to know ifZomig is considered a narcotic.

  • Migraine.com
    7 years ago

    Laura – Zomig belongs to the triptan class of medications (it is not a narcotic). You can learn more about Zomig here: http://migraine.com/migraine-treatment/zomig/

  • Kim Pennell Rogers
    8 years ago

    I have to take Zomig nasal spray, preventives and a narcotic if all else fails. I currently am receiving botox injections every 3 months that last about 1 1/2 months. It really seems to help some but not always. I have 3-5 migraines a week and am out on disability. I wish they woud fine something that really worked well. Soft hugs to you all!

  • Virginia Jones
    8 years ago

    I think I suffer from migraines but as I don’t have the money or insurance to go see a doctor to be diagnosed with them I take meds when I can and when I cant then I just muddle through them nothing else I can really do.

  • Rae Sawyer
    8 years ago

    I have transformed migraines which causes headaches everyday. Most of the time the pain is at a 3 on the pain scale so I don’t take anything. On days when the pain is at a 6 or above the only thing that takes the edge off is Lortab. I can only use it 1 to 2 day max because of rebound headaches but I’m thankful for the 1 to 2 day relief.

  • De'Anna Barnes
    8 years ago

    I had brain surgery to get rid of seizures, I now have MIGRAINES instead of daily seizures..Ive taken every med they offer with No results..Now I have to try FLUNARIZINE..which is only sold outa CANADA(and has a side effect of major weight gain) which makes me not wana take it, and I have to do another DHE treatment, I hope to get LONGER results from the DHE this X since the first treatment only lasted 3 weeks.I hope it works this time, I didn’t have any side effects from the 1st treatment which some seem to have leg issues from it.

  • De'Anna Barnes
    8 years ago

    I do, im just sick of dealing with it..all day everyday

  • Lindsay Sherley
    8 years ago

    Make that migraine your bitch, d. You’re one tough lady, I know you got it in you.

  • Michelle Oelfke Buck
    8 years ago

    I need an occasional injection of demerol when my triptans don’t work. But it’s only twice a month…I feel I would get rebound if I took narcotics more often.

  • Alexis McMillen
    8 years ago

    I’ve taken firocet for 20 years and I have a heart condition that won’t allow me to take tritons… they also since the heart attack have me on neuontin twice a day so I don’t get as many migraines anymore.

  • Tonia Mcintosh
    8 years ago

    alexis, I also have been on fiorcet for years, and then one day it didn’t help anymore, and i think thats cause my migraines changed it was something i never felt before, I had never had a migraine this long before, it lasted six weeks. so i hope you continue to get relief.

  • Mindy Manon Messinger
    8 years ago

    I have taken Imitrex in the past. it has stopped working for me. then I have taken beta blockers. and they have stopped working. now my doc gave me effexor xr. second day on it. and still woke up at 1 am with a headache, and severe neck pain.

  • Bonnie Åsheim
    8 years ago

    I’ve had migraines for many many years. It took me coming to Norway to find out that I have many food triggers. Everyone can be different but gluten, milk, barley, rye, things with tannins in them can trigger migraines in me. I can control much better how often they occur and how severe by watching what I eat.

  • Patsy Chesnut
    8 years ago

    Actually if you read closely, one of the side effects of effexor is headaches, so keep that in mind as you are taking that.

  • Teresa Spence
    8 years ago

    Mindy effexor is an anti-depressant. It will not stop your migraines. It might relax you and slow you down some. Goggle and read up on it. i took it for years for depression.

  • Kia Marie
    8 years ago

    I do have percocet but really don’t want to take it…but at this point I may have no choice..

  • Tonia Mcintosh
    8 years ago

    Kia, if the perocet has helped you in the past then there’s no harm in taking it AS PRESCRIBED. Just be mindful not to OVER MEDICATE. Please don’t suffer through that pain if you don’t have too. Try to lie down in a cool quite room, and try an ice pack, the ice pack brought me some relief. I hope you feel better soon.

  • Lise Haire Wannemacher
    8 years ago

    Take it. You need the relief!!!!! There is really no reason for you to suffer through a Migrain Kia and If you have the Percocet TAKE IT! Get some relief. 🙂 Hope you feel better soon.

  • Kia Marie
    8 years ago

    I’m on day 3 of a migraine..using imitrex and just had my dr increase it to 100mg today with no relief..any suggestions?

  • Cheryl Jenkins
    8 years ago

    I take Imitrex and it works for me.

  • Cathy Ruggirello Robinson
    8 years ago

    I have to take narcotics…I cannot take triptans because of severe palpatations…nothing else works….I’ve tried everything else know to man. But nobody wants to prescribe narcotics!

  • Cathy Ruggirello Robinson
    8 years ago

    I always bring my neurologists card with me and I have his cell # for when he’s not in the office…so I tell them to call him. I always get something now…and you can see the migraine because one of my eyes always droops. But…the first thing they always want to give me is Torradol or Reglan and neither does anything for me. I get 2mg of Dilaudid in the ER.

  • Michelle Oelfke Buck
    8 years ago

    Emergency rooms are more likely to give it if you have a pain contract with your doctor and bring records of you migraine history with you. Mainly they are trying to avoid druggies. Most will try to help you if they have verification that you are an actual pain patient.

  • Cathy Ruggirello Robinson
    8 years ago

    Thank you Jodi…I was starting to feel like it was just me. These doctors just look at me like I’m an addict…and I get the same shit in the emergency room!!!

  • Jodi Skinner
    8 years ago

    I myself am the same way. I have had only major relief with the use of narcotic pain medications, but again no one wants to prescribe them anymore. The emergency rooms are really getting nasty about it also. I have tried all the triptans and all the preventative meds to very little relief. I am glad to know its not just me that has these problems with medications. Good luck to all!

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