... it takes to work. I would like to have one of my practitioners write for injectables, but I haven't found the right way to ask. My go-to is Ubrelvy 50mg and then 50mg more if needed an hour later. I also take Benadryl 50mg & promethazine 50mg. All of that seems to work, but I am not worth anything the rest of the day after all of the antihistamines. Nausea is the number-one thing with my headaches and it is intolerable (hence the 50mg of promethazine). I have tried Zofran, but it does nothing for me. When I go to the Urgent Care, I get Toradol 60mg/promethazine 25mg/Benadryl 25mg, all separate injections. That works like a charm, but I save the Urgent Care for when I run out of Ubrelvy. Thanks in advance for your responses
I am curious as to what other people take as a rescue cocktail for their migraine and how long...
Question posted by scochran on 14 Nov 2020
Last updated on 20 January 2022 by painofthenerves
3 Answers
painofthenerves
20 Jan 2022
I was able to stop Botox Injections & decrease migraines from 15+ monthly to one or less by starting Emgality Injections monthly. Aimovig did not work well for me even with Botox. Insurance approved Emgality based on Aimovig not being effective but it still costs a lot.
Non-formulary is supposedly 50% co-pay. Insurance co-pay starts @ $606 for Emgality in January then $330 x 2 mos, $179 x 3 mos, $60 x 2 mos & $30 x 3 mos. It makes no sense but it’s worth every penny. They charge $600 for 10 Ubrelvy. I take Imitrex & Zofran for the occasional migraine. They once ruled my life. Toradol doesn’t touch them nor any controlled IV or IM meds. I can’t take over 12.5mg promethazine (bad reaction). Zofran is a staple with me @ all times for nausea caused by several health issues. Migraines ruin too many lives. Thank goodness for prevention in medication form that works!
djs04736
16 Nov 2020
I have had migraines since age 15 & I am now 59. I have used everything on the market from 1979 - PRESENT. I currently take TOPIRAMATE 100mg tab x2 @ BEDTIME. I have been on this from my neurologist for my migraines. I was getting over 16 a month and this has stopped them for about 12YRS now. Occasionally I have a breakthru migraine & I use Sumatriptan 50mg for them. I get an AURA so I can tell when they are coming so I can take the medication. This has been the medication that has worked the best for me as it keeps them away & I have a way to treat them if I need to. I was in the USAF as an EMT & an LPN most of my working career. So unless its going to work, less or no side effects I won't take it. GOOD LUCK in your search for treatment ❤❤❤❤❤
scochran
17 Nov 2020
djs04736, thank you for your response. So happy you found something that works for you!! I have tried Topiramate in the past and the side-effects were just too much. I have worked in the medical field and I am currently working in the computer field. I have also found that adding Co Q 10 100mg everyday cut the headache days in half. I still get quite a few though. Again, thanks for your reply.
grlewycky
18 Nov 2020
Take Vitamin B2 400mg & Magnesium 400mg both at bedtime regularly
I was lucky finding a neuro specializing in headaches in NYC also for my morning barometric pressure migraines
djs04736
5 Dec 2020
I also use CBD and sometimes THC/CBD capsules to help take the edge off my migraines. CBD is really a good option as it is a really good relaxer and no side effects of the THC part of marijuana.
sara12345
15 Nov 2020
- I assume that you know about Maxalt or Sumatriptan.
- An ointment (by prescription) that are made up by specialty pharmacies often helps to not get a migraine that is developing. The ingredients of this anti-inflammation gel are: Amitrityline-2%, Ketoprofen – 10%, Gabapentin – 3%, Lidocaine – 2% and Transdermal Gel – 60 g.
- Often caffeine can really help.
You don't say how often you get bad migraines.
- On an ongoing basis, what has really helped me is Aimovig, but it is expensive, even with insurance. It doesn't help everyone.
- Before AImovig, acupuncture helped me more than Botox. But you have to find a good acupuncturist.
Good luck!
scochran
15 Nov 2020
Thank you Sara12345 for your response. I have heard of the Triptans, and I have been down that road. I tried them with little success in my first bout with migraine, ended up using DHE-45. However, this time around I cannot do the Triptans or DHE-45 due to cardiac issues. I started with Ajovy, but I am currently using Aimovig 140mg each month and 100mg of Co Q 10 every day. I think the Co Q 10 has made the most difference, but I do end up with about 10 headache days a month. The Ubrelvy works almost every time, but I end up taking two doses about 50% of the time. I figured if I could start with 100mg I would be fine (I am only on 50mg). The insurance only pays for ten pills a month, so that leaves me suffering for approximately 3-5 headache days a month. I have Promethazine tablets, but I need to hit them early on in the headache to not risk losing them to a bout of nausea that went too far. Zofran doesn’t do anything for me. I end up going to the doctor’s office or Urgent Care every couple of months. Again I thank you for your response.
Related topics
Further information
- Ubrelvy uses and safety info
- Ubrelvy prescribing info & package insert (for Health Professionals)
- Side effects of Ubrelvy (detailed)
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