Hi ninjaqutie,
Thank you for your question and welcome to the discussion forum! You're lucky to be working with world class migraine/headache experts at the Jefferson, good for you!
I've not taken this medications but hopefully others will be along shortly to share their experiences with you. I hope you do well with it.
I have a little tip for constipation if you're up for it. I took methadone for 3.5 years for chronic head pain and had this problem. I finally found Yakima Valley Anti Constipation Fruit Paste from CancerLynx that completely resolved the issue. One tablespoon a day was all it took!
Here's the recipe. I have permission to share this as long as I meniton CancerLynx!
Yakima Valley Anti Constipation Fruit Paste
1 lb pitted prunes
4 ozs senna tea leaves (at health foods store)
1 lb raisins
1 lb figs
1 cup lemon juice
1. Prepare tea; use about 2 1/2 cups boiled water, add to tea leaves and steep for 5 minutes.
2. Strain tea and remove tea leaves.
3. Place 2 cups of tea, or amount left, in large pot.
4. Add all of the fruit to the tea.
5. Boil fruit and tea for 15 - 20 minutes, until soft.
6. Remove from heat and add lemon juice. Allow to cool.
7. Use hand mixer/blender or food processor to turn fruit and tea mix into a paste.
8. Place in glass jars or Tupperware and place in freezer (paste will not freeze but will keep forever in freezer also very long in fridge).
DOSAGE: 1 - 2 Tablespoons per day
Good luck let me know how you make out,
Nancy