I am 26 years old and have migraines pretty much my whole life. Last fall, they increased in the threshold of pain, duration - lasted for weeks on end nonstop, as the days got shorter, the migraines got worse. I tried Imitrex, Celebrex, anything ansaid, but went into anaphylactic shock with all of them. I am now taking topomax and had been using Fiorcet for breakthrough migraines. My migraines were down to maybe 3 a month!, then this past week, they started up something awful - this last one I had for 5 days and ended up in the ER getting dilaudid shots to break the cycle. I know this is only July, but I am concerned about Fall approaching and with it migraines, and also really scared considering all of the allergies I have to medications - there is a very long list. My doctor wants to "try" the Botox, but if I should have any reactions they won't be mild - I know I would end up back in the ER. Since my doctor does NOT treat a migraine with anything once I get one, I am stuck - increase the topomax and feel totally spaced out all the time and unable to sleep, or go with the Botox and chance a reaction. Has anyone else out there had a situation like this?
You could ask the dr to do a skin test with the a small bit of botox to see if you're going to react to it. Testing like that will just give you a small reaction where the med is under your skin not go systemic. You need to find a neurologist who specializes in migraines if he's not willing to treat one once you get it. But I'd want to try to the botox, many have had good results with it.
My Botox injections have greatly helped my severe 24/7 migraines. You could probably go off the Topomax altogether as well as not need the abortive pain pills nearly as often--if it works for you. I suppose a skin test may be a help, but I wonder if the injections are only skin deep. The doctor gives them to me so fast that I can't believe it is different. But perhaps if the skin test works, that would be better than having 20-25 of them. But you should definitely inquire about a skin test. Or there may be a blood test to test your sensitivity to Botox. I've had blood tests to test for my sensitivity to many different foods, molds, etc. that I haven't necessarily been exposed to. Really don't know. I would definitely ask more questions about its possible allergic reaction. But the Botox was a real gift to me as it could be for you.
- Botox Information for Consumers
- Botox Information for Healthcare Professionals (includes dosage details)
- Side Effects of Botox (detailed)
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