It seems like I tried everything. So im just wondering if I missed one of the meds.
I have used Immitrex Nasal Spray for several years now with much success. But only the nasal spray works for me, the pills and the injections don't work for me at all. It does come in a generic form called Sumatriptan which is less expensive. I have also used Stadol nasal spray, which is a fairly strong narcotic. It also worked well, but tended to make me pretty nauseous as a side effect. Since the migraines usually already make me nauseous, I prefer the immitrex because I don't get that side effect. I hope this helps and you're able to find some relief.
I assume that you have tried a number of the daily preventative migraine meds. If so, Botox injections are most likely to help you. They have given me tremendous relief. Also nerve block and trigger point injections have helped me a great deal. Beyond that, Butrans patches, off-label Namenda (25% of normal dose given), and Petadolex (an herbal). For abortive pain which you can't use more than 2 or 3 times a week to avoid rebound migraines, I use Esgic and Maxalt. Feel free to ask me any questions that you may have.
I get migraines occasionally, but my daughter is plagued by them. She has tried all of the preventative meds and even had the botox injections. None helped. Now she gets Maxalt and it kicks her migraine right away. The only problem is that you can only get 9 pills per month. If you get migraines more often than that, like my daughter does, you're out of luck. In between, she uses Excedrin Migraine. For some reason, that works better than some of the opiods for her. I guess it's the caffeine in it. Hope this helps.
See your neurologist, but here is my prescribed regiment:
100 mg Topimax/Topiramate daily
This prevents of 90% of my migraines
10 mg Maxalt/Rizatriptan at the first signs of a migraine
This takes care of 99% of the migraines I do get. If it does not then:
500 mg of naproxen sodium
10 mg of Maxalt/Rizatriptan no sooner than 2 hours later from first dose, then,
7.5/750 Hydocodone every 6 hours until I fall asleep or I feel better (I LIKE these so I avoid taking them whenever possible. I found that out on the very first one)
I have had to use this protocol three times.
I have had to get an infusion once.
I have tried so many but get side effects from them and they are so expensive! So as soon as I get one I take 1 Advil and 1 Tylenol and a cup of coffee or a coke. Put an ice pack under my neck and lie down for awhile. Works most of the time and I have had migraines for over 30 years.
PLEASE READ!!! If anybody is suffering with migraine headaches please don't let your doctor put u on Topamaz I took it for 2yrs and yes it worked wonderful for my headaches but I had another doctor tell me that I needed to have my kidneys checked out because Topamaz was causing kidney problems so I got checked out and my right kidney was fixing to shutdown so they removed it and yes you can live with just one kidney but my sister wouldn't take no for an answer and she gave me one of hers. Well that's my story Please people be careful what you let your doctors put you on and remember some doctors don't know everything
I was on Amitriptyline but stopping cause it's giving me insomnia. I am also on Fioricet but want to stop that as soon as possible it always makes me feel drunk and sometimes I have to take 6 a day before I feel relieve if the migraine is pretty bad. I tried Axert and it took it away in 30 minutes but it's expensive. I am trying magnesium, B2, and CQ10 supplements for prevention since I don't want to go on Topamax or Depakote.
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