The patient is of 52 years age and has chronic migraine since last 25 years. The frequency of attack is almost four times a weak and for pain relief takes Sumatriptan 25 mg. As he has hypertension too, he takes Atenolol 50 mg daily. All other clinical parameters are normal.
Can amitriptylene and cyproheptadine be concomitantly used for migraine prophylaxis ?
- 28 Sep 2013 by gppandey
- 8 June 2015
- migraine, cluster headaches, pain, amitriptyline, cyproheptadine, sumatriptan, hypertension, migraine prophylaxis, chronic, chronic migraine, pain relief
I am a chronic migraine/TMJ sufferer, single mom, lost 4 jobs because when you are going through a severe episode... there is NOTHING you can do! I am on Topamax 100 mg daily, Imitrex 100 mg at onset of a major migraine, Cambia during a horrific episode (in powder form because at that point you cannot keep anything down!) Zofran for vomiting, Omeprazole daily for acid reflux,and I NOW rotate my percocet 10 mg and my norco 10 mg (this made a HUGE difference. Because after a while neither was working at all) Finally, after my request back and forth from doctor, neuro, MRI, CT scans, they realized I am really having serious trouble and I can say - yes, it is a pain in the butt, but now I have a great career! I could have went back to pain mgmt (and will if I EVER need to) but I truly needed to know what was going on and not just be given stuff that sometimes masks symptoms.
This is what I did previous! I chose not to go on a higher pain med yet, as I have been down that road before, but if I find this pain med combo fails me, I will probably choose dilaudid, as in my experience, it lasts long, it works very well, and is easier on the kidneys/liver. This would be a long acting I believe - maybe I would then need only one med (not in the Hydro family - you DO have to switch it up to make it work!) as a breakthrough! - Any other thoughts as a back up on the.. lol.. back up plan?!
Hi. I also have chronic migraines, sometimes for days. After trying every migraine med out there, I started w a Neurolog and he put me in APAP/Caffune/butalbital w Botox injections. Insurance covers both.
I didn't notice any difference w the Botox but the medication works wonder and I no longer have to pay the high co-pay for a Nuerogist as my PCP writes my prescriptions!! Laura
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