This is my first post, so please forgive me if this question has been asked in the past. I just need some advice, as I am not getting any answers from my current Neurologist and I find it to be very frustrating.
I’ve had chronic migraines since I was 15. I am now 38, and this is the first time I have ever enlisted the help of a specialist for my Migraine pain. I suffered through it for 23 years, until I just couldn’t take it any more. This neurologist started me out on 25 mg. Topamax once a day, and 10 mg. Maxalt. In the past, I have had a very strong reaction to Imitrex, so I was instantly afraid to try another Triptan. Sure enough, the Maxalt sent me into a 7 day long Migraine attack that even a visit to the ER couldn’t remedy.
So I went in to my neurologist to try a different abortive medication, and to talk about prescribing a medication for the break-through pain when the abortives don’t work. He increased my Topamax, even though it has caused a great deal of anxiety. He tried to talk me into using another Triptan, which I declined due to past history with this class of drugs. Then he told me that he cannot prescribe anything for the pain except another NSAID, and that he does not prescribe narcotics… EVER. So, Tramadol and Fioricet are completely off the table. Oh, and when I asked him if my chronic neck pain could be associated with my daily headaches, his answer was “probably”, and then he walked off.
I came in to see a neurologist because I wanted to get my Migraines and the pain associated with them under control. I have seen this neurologist three times, and my pain is worse, my migraines are not controlled, and he won’t prescribe the medications that are necessary to break the cycle of pain. I feel like I am spinning my wheels for nothing.
Are there other treatment options out there that are non-narcotic, not a triptan, and not an NSAID that I can talk to him about? Or is this how all neurologists treat chronic migraines? Is it normal for a Neurologist not to prescribe pain medication for break-through pain?