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Migraine question
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<blockquote data-quote="susiestar" data-source="post: 304538" data-attributes="member: 1233"><p>The ins co is balking at Topomax and other "new" preventatives because of the cost. I actually would suggest that first she try at least 2, and optimally 3 beta blockers. They are dirt cheap and FAR easier on the body. If she has low blood pressure this may not be possible.</p><p></p><p>Next should be a calcium channel blocker. Then a trycyclic antidepressant. Each of these medications is easier on the body than the antiseizure medications like topomax. After that topomax or another anti seizure medication is an option. Unless she is having more than 3 per week my docs would NEVER consider topomax. It is SUPPOSED to be about the last ditch medication to try. This is per 4 different neurologists including my current one, my endocrinologist, my rheumy and my pain doctor. ALL say the same thing.</p><p></p><p>The doctor probably has her on a lower dose of a beta blocker, likely propranolol. </p><p></p><p>When she GETS a migraine, at the FIRST sign she needs to take a medication to stop it. Midrin is an older medication but a good one. IF you take it, or any OTC medication more than 3 times per week or 5 times per month you will end up with headaches caused by the medication wearing off. It is a horrible cycle. Very painful to get out of if you are not using a triptan to stop the migraines.</p><p></p><p>Imitrex and maxalt are examples of triptans. RelPax to. they are awesome if taken at the first sign. Pretty dang good if taken later. They actually stop the migraine, as opposed to other medications which don't stop them but make you not care as much. Best way I can describe it.</p><p></p><p>The newest triptan medication is imitrex (now sold in generic as sumatriptan) and aleve. I think it is the equivalent of 2 aleve and 1 imitrex. It is called treximet and is a last ditch effort to keep imitrex's vice grip on the market. My doctor raves about it. But I am very allergic to all NSAIDS, including aleve and motrin. If she has the generic sumatriptan (imitrex) and takes aleve with it, this seems to be about as effective as the new treximet. </p><p></p><p>To truly get a handle on this your niece needs to start writing down every bit of food/drink that goes into her mouth. All her activities, and when she gets each miigraine. It can take a while (months) to see a difference. </p><p></p><p>You can google foods that cause migraines. There is a whole list. Avoiding them all for a few weeks and then adding them in one at a time is the ONLY way to really find the triggers.</p><p></p><p>I am sorry she has these. I can not think of anyone I would wish these one. And until menopause they usually do NOT stop.</p></blockquote><p></p>
[QUOTE="susiestar, post: 304538, member: 1233"] The ins co is balking at Topomax and other "new" preventatives because of the cost. I actually would suggest that first she try at least 2, and optimally 3 beta blockers. They are dirt cheap and FAR easier on the body. If she has low blood pressure this may not be possible. Next should be a calcium channel blocker. Then a trycyclic antidepressant. Each of these medications is easier on the body than the antiseizure medications like topomax. After that topomax or another anti seizure medication is an option. Unless she is having more than 3 per week my docs would NEVER consider topomax. It is SUPPOSED to be about the last ditch medication to try. This is per 4 different neurologists including my current one, my endocrinologist, my rheumy and my pain doctor. ALL say the same thing. The doctor probably has her on a lower dose of a beta blocker, likely propranolol. When she GETS a migraine, at the FIRST sign she needs to take a medication to stop it. Midrin is an older medication but a good one. IF you take it, or any OTC medication more than 3 times per week or 5 times per month you will end up with headaches caused by the medication wearing off. It is a horrible cycle. Very painful to get out of if you are not using a triptan to stop the migraines. Imitrex and maxalt are examples of triptans. RelPax to. they are awesome if taken at the first sign. Pretty dang good if taken later. They actually stop the migraine, as opposed to other medications which don't stop them but make you not care as much. Best way I can describe it. The newest triptan medication is imitrex (now sold in generic as sumatriptan) and aleve. I think it is the equivalent of 2 aleve and 1 imitrex. It is called treximet and is a last ditch effort to keep imitrex's vice grip on the market. My doctor raves about it. But I am very allergic to all NSAIDS, including aleve and motrin. If she has the generic sumatriptan (imitrex) and takes aleve with it, this seems to be about as effective as the new treximet. To truly get a handle on this your niece needs to start writing down every bit of food/drink that goes into her mouth. All her activities, and when she gets each miigraine. It can take a while (months) to see a difference. You can google foods that cause migraines. There is a whole list. Avoiding them all for a few weeks and then adding them in one at a time is the ONLY way to really find the triggers. I am sorry she has these. I can not think of anyone I would wish these one. And until menopause they usually do NOT stop. [/QUOTE]
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