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Not sure where to put this. Migraine changes.

  • By m0mof6

    Usually I get hormonal migraines max of 2 a month just before or during my period. When I had access to prescription meds I would take imetrex otherwise I would suffer through. None lasted more than 24 hours.

    Oct of 2017 that changed when I started the longest migraine of my life. I didn’t believe it was a migraine as if never had one that long. I have chronic headaches (various types)in addition to my migraines. It took 3 weeks of worsening symptoms before I went in to the Dr. Dr put me on amitriptyline and prescribed maxelt (? I think that’s what it’s called?). I also received my first shot of tortatol. 3 weeks later the migraine finally broke.

    Over the next 6 months I went through a period of increasing migraines and increasing amitriptyline. My heart rate also rose during this time until my resting heart rate was 150 bpm. I began to see a cardiologist who (after tests) prescribed metoprolol. We finally connected the high heart rate with the amitriptyline and with the metoprolol as a migraine preventative began weaning me off the amitriptyline. Migraines were once again manageable and linked to my monthly visitor.

    Until now.
    I am having another migraine that won’t stop. I am “only” on day 9 but this one is 1000x worse than the one in 2017. I had a tortol shot Thursday and this time I had side effects i didn’t like. (Although the pain cessation was worth it). I am using my maxalt sparingly to keep from rebound headaches. Monday I saw my Dr and started topamax. But, of course that won’t stop my migraine anytime soon. 🙁

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  • By Nancy Harris Bonk Moderator

    Hi m0mof6,

    Thank you for sharing your thoughts with us. I’m so sorry for the delayed response!

    I’m so sorry you’ve been in extended pain. It’s always important to let the doctor know when our migraine symptoms and/or patterns change so he can rule out anything more serious. I’m glad you’ve been in contact with him.

    There are things the doctor can do to break a nasty migraine cycle such as a steroid taper pack, which has been helpful for me. There are multiple medications that can be infused to help break a migraine cycle such as;
    magnesium sulfate
    dexamethasone (brand name Decadron)
    valproate sodium (brand name Depacon)
    droperidol (brand name Inapsine)
    metochlopramide (brand name Reglan)
    dihydroergotamine (brand name DHE45)
    promethazine (brand name Phenergan)
    lidocaine
    propofol
    tramadol (brand name Ultram)
    levetiracetam (brand name Keppra)
    ketamine.

    As far as Topamax goes, it works wonders for many people with migraine disease. It is important however, to start at a low dose and increase it slowly. When you get a moment take a look at this information on Topamax dosing, it’s near the bottom of this page; https://migraine.com/migraine-treatment/topamax/.

    I hope this information is helpful, please keep me posted on how you are doing.

    Nancy

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