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Medications & Prescription Treatment

Rx Ideas?

  • By Tinesthai

    I began having chronic migraines (I’m guessing) a little over a year ago. They have become either numerous enough or rapid enough or something where there doesn’t seem to be any break in between them anymore and reality is just one constant migraine that might ebb slightly for maybe a half hour and then returns, usually gradually over the course of 10-20 minutes. So I get maybe an hour at best for a break and then it is back to dealing with this monster some more. The last five days have all been seven or above, out of ten, on my misery scale. I’ve seen my PCP every week for a month, but I can’t see a neurologist until February 15th. My PCP tried prescribing Magnesium, which didn’t do anything, Butterbur, which does help a little, and Topamax, which I keep taking hoping it is doing something. She also suggested a nasal spray, but I really hate the feeling of nasal sprays and, if possible, would like to avoid that route.

    I’m guessing I am running out of options for treatment she can provide and was wondering if there were any ideas I could bring to her for us to try? Much appreciated!

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  • By Brooke H Moderator

    Hi Tinesthal,

    Thank you for sharing your experience and reaching out for support. I’m glad you have a provider who’s willing to work with you and an upcoming appointment with a neurologist. I’m sorry you’ve still been having symptoms despite trying some treatments. Unfortunately, it can be a process of trial and error before finding the right fit. The good news is there are many many treatments available. Here is a link to the most common medication treatments for acute symptoms: https://migraine.com/migraine-treatment/migraine-medication-relief/. This article includes prevention medication treatments: https://migraine.com/migraine-treatment/prevention-medications/. There are also multiple alternative treatment options that some people find helpful: https://migraine.com/complimentary-and-alternative-therapies/. In the meantime, please know you’re not alone in this! Feel free to come here for support anytime.

    Best,
    Brooke (Migraine.com team)

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  • By Bravesfan

    Sure hope the Neuro can help you.

    I have been dealing with Migraine for the last 25 years and it truly is trial and error with no shortcuts unfortunately.

    My misery started with a hysterectomy at 29. Did the saliva test and went on HRT for several years with no improvement.

    My MD had me try absolutely everything out there and nothing helped much.

    Been to Headache clinics, Headache Specialists, Neuros, etc.

    I have seen more than 25 different docs over the years and most look at my records, try a couple of things and then pass me on to someone else.

    Even my MD was surprised at how some docs he tried to refer me to, after seeing my file just told me not to bother.

    After my MD retired I started with a Pain Management Doctor and that has been the best thing I ever did.

    Now I take a long acting drug and a short acting drug daily and at least I can live a somewhat normal life.

    Just don’t give up no matter how many doctors you have to see or how many drugs you have to try, something will work for you.

    I know your misery when pain gets out of control and you have days of vomiting and pain.

    Is your doctor open to trying opioids?

    At least til you can find something else in the preventative line.

    I mean you have to be able to function on a daily basis.

    Best of luck and let us know how things to with the Neuro.

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  • By Cheryl Stinar

    I have tried so many different medications, the one that seems to work the best for me is Relpax 40 mg…but my insurance only allows me to get 6 pills every 25 days. Some times that would last, but most times it doesn’t. My migraines get so bad, that I can’t function. I wanted to ask if Botox works? And what are the side effects? I tried taking topamax and preventive, but I had an allergic reaction and got a rash, that lasted 6 months, that in itself was a nightmare.

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  • By azurelle

    I work in prescription insurance in America — please keep in mind that in America you can appeal ANY health or prescription insurance coverage. Most prescription plans have dispensing limits on categories of medication (like the one Relpax is in) based on FDA guidelines. These are a guideline only and most plans have the option to get a prior authorization — that is, to somewhat customize the coverage based on your individual needs. Call the member services number on the back of your card for information about how your insurance plan handles personal requests/prior authorizations.

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  • By CathyinPain

    I have suffered with migraines since 14 years old. I am now 58 and still trying to get the pain under control. I use Imitrex 100mg and if that doesn’t abort the headache I have to resort to Norco 10/325. If that still doesn’t help the pain I go to dilaudid (hydromorphone) to keep me out of the ER. I get migraines between 3-4 days per week. I just read about KETAMINE. Is this something my pain management Dr. can prescribe and use for migraine relief? So far ALL prophilactic drug don’t work for me. My pain management dr looked at my file the 1st day I went to him and he told me the only thing he could do for me was write my prescriptions for opiods. Where does KETAMINE fit in to pain management for chronic migraine?

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  • By Cheryl Stinar

    I also have had chronic migraines since I was in my 30’s..I as well have tried everything that was out there. I am currently taking Relpax 40 mil right when the pain starts,,only thing is I can only get 6 pills every 26 days, and that clearly isn’t enough with chronic migraines. There is a new medication called Trokerdi ! It’s something like topamax which I am allergic to. The relpax kicks it out right away….as long as I don’t wait to long to take. The soma, hydrocodone, I didn’t like the way it made me feel. I work, and I have to be able to function there.

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  • By JadedJulez72

    I’m on Imitrex shots, pills, Cambia powder, a new on called Onzetra, Propronlol for daily preventive, & I also see a pain management specialist who prescribes Fentayl & Oxycodone as my neck is herniated in 2 places. And I recently started Botox injections. I wish I could say that I’m migraine free, but sadly, not the case.

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    • By Tinesthai

      I had to have a lower lumbar fusion done last year and they put me on fentanyl and oxycodone as well. I had one previous back surgery and a previous neck surgery and had been prescribed oxycodone for those, but the last surgery was my first experience taking fentanyl. They had me on a fairly high dose, but because of the nerve root being impacted it didn’t ever feel like it did as much as the doctors seemed to think it should. I only mention all this because previous to my last surgery, I didn’t have migraines. The first migraine I remember clearly, was as soon as I woke up from surgery and have continued, pretty much daily, since. I was off the oxycodone two weeks after my surgery. The fentanyl took months to come off of and even my pain management doctors were surprised I did it so quickly. I am so sorry you are going through this right now – it was so hard taking care of myself before the surgeries, I am scared to think of what you have to deal with with migraines on top of it, too. Just be careful of the fentanyl. I know it helped me with the pain, but I am not totally sure it wasn’t the cause of my migraines as well.

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