Help - my 15 year old has chronic migraine (to the point of not going to school in months) we are trying to treat and are treating lots of aspects (ie. therapist, physical therapy etc) but we still have yet to find a migraine medication that works for her on the really bad long lasting ones. Excedrin or even Tylenol can work on the not so bad ones. She does take Topomax and Migralief.
We've broken a couple with a hospital visit and Reglan but obviously that can't happen often. She has asthma so that rules out the whole Beta Blocker class of meds (although I think she's mostly outgrown it and might push them to try that) and Triptans of all shapes and sizes kick her ass - she just tried a new one today (the 4th or 5th one she's tried) and she passed out cold about 2 hours after she took it when she stood up. The side effects of that whole class of drug seems too much for her (scary rapid heartbeat, flushing and heating of face so it's almost like hives, pounding head, the feeling that her chest will just explode, fainting etc) Not ready to go the Botox route or even sure that the insurance company would do it with a 15 year old.
Her triggers are really far reaching so we can't avoid them all. Stress and Anxiety are the biggest, but then hay fever, insomnia, her braces, TMJ, mold/dust and other stuff are also triggers. These are not all avoidable or fixable.
Any suggestions would be greatly appreciated. I'm going to call the Headache Center back again tomorrow to ask about a new medication to try.