Unfortunately, I haven’t been able to reliably figure out why this happens, but sometimes my tried-and-true medications just don’t work right.
Take, for instance, the migraine I had this past Sunday. I thought at first it would be an easily treatable attack, so I had a cup of coffee and waited. No effect—I felt as murky and blah as I had before. I took one of my naratriptan pills and hoped it would kick in as quickly as it usually does.
I should throw in the fact that I had gone to bed after 2 AM not because I was out drinking or at a rock show, but because the newest Harry Potter book was released at midnight and we had a huge party at Avid Bookshop and I didn’t get home until a quarter to two. Don’t mess with book nerds, y’all: we can party.
Jim and I wanted to make some cash while offloading some household items, clothes, books, etc. we no longer needed. We had thought about a Sunday morning yard sale, but Jim had mercy on me and my late bedtime and we pushed it to a Sunday evening porch sale/get-together. This made for a very relaxing morning of sleeping in, but the rest of the day was tiring as we prepared for the sale.
I didn’t feel bad enough that I couldn’t help out, but my productivity was pretty low and I couldn’t retain information very well. Jim would come in to ask what I was doing, and when I explained, he would say, “Um, do you remember talking about this with me an hour ago? You’re doing exactly what we agreed not to do.” I had zero recollection of the conversation and the plan. Oops. Had I been a bad listener/conversationalist, or was it the migraine? Was it the migraine medication? Was it a combination of all of the above?
So Sunday was rough, and over two hours after my naratriptan dose I realized I didn’t feel any better. Thankfully, I didn’t feel worse, either.
I decided to take another dose of the medication, though it wasn’t an easy decision to come by. Sometimes, based on what you’ve eaten or how bad the migraine is or (if you’re a woman) where you are in your cycle or how stressed you are or what triggered the migraine, the medications just don’t work as well. Should I take a second triptan and hope that, this time, it would work? Or should I skip it and not waste meds and not risk becoming loopy and out of it, which sometimes happens with my naratriptan? If this had been my Zomig, the battle would’ve been even more confusing, as it’s cost prohibitive for me to refill and I only have a few doses left in this already-paid-for-by-my-supernice-dad prescription.
After talking with a lot of you here on migraine.com, I know I am not alone when it comes to trying to parcel out medication either because you’re not sure if it’ll work or you can’t afford to waste a dose. How do you decide when to give up and let the migraine take hold versus take a chance on a second dose (assuming your prescription says you can take a second dose)? How do you make these difficult decisions?