Hi! My name is Kasey. I have between 12-17 migraines a months. I am currently using Relpax 40 mgs, Depakote 250mgs and Stadol NS with phenergren to treat these. If the “monster” doesn’t take me out in the first 15 minutes I try foricet. It has been a long road, I have had these since a motor cycle accident when I was 16 years old and I am 58 now.
I have tried several other vaso constrictors, meds that expand vessels, different seizure meds etc. I have had occipital lobe injections of Medrol which only lasted about 10 days. I have had cervical facet injections and finally ablation of the ganglion nerves at C-2 on both sides. These things only made matters worse. This was done through Pain Management.
I tried taking the Depakote at 500mgs and it did make a difference, the issue was my liver functions studies came back at “critical” levels and we had to reduce it. I also have non-alcoholic fatty liver disease.
So to my question is this, a year ago I went to the ER because I had been in migraine 17 days straight and unable to break it with my at home meds. The ER doctor gave me a shot of anti inflammatory and phenegren and tried to send me home. I told him I needed something to end the pain, I was beyond a 10 on the pain scale. He accused me of coming to the ER looking for narcotics. Quite frankly, at that point he was right! I wanted the pain to end because I was nearly suicidal. He did give me a shot of morphine and told me to never come back to his ER again. I was so humiliated. I am a Pastor and I am not a drug seeker for “fun”.
1.When my at home meds do not work and I have to go to the ER what do I do? I can’t Relpax or vasocontrict more than once on the same day because I have Ventricular Tacycardia.
2. Is my current treatment plan the best I can do? Thanks, Kasey