Can I get a straight answer on medication overuse - how many triptans per month?
I have chronic daily migraine with some level of migraine pain every day 24/7. I usually get between 8 and 10 full blown attacks a month for which I take triptans. Sometimes the attacks come one day at a time but more often they come 3 to 4 days in a row. I have had migraine for 40 years, becoming more and more chronic in the last 10 years. I have only been using triptans for the past 10 years and sometimes wonder if using up to 10 per month for up to 10 years now is contributing to getting more full blown attacks. When I ask my neurologist, he won't really give me a straight answer, he just says no more than 10 a month and take them early in the attack. However, if I don't take them for the longer attacks, I would miss out on so much, whether it be work, social stuff. They seem to run their course whether I take them for 2, 3 or even 4 days in a row. Any advice?