imitrex for migraine?

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integral
New Member


Date Joined Jul 2009
Total Posts : 1
   Posted 7/29/2009 5:33 AM (GMT -6)   
Just got a confirmation today from my doctor that indeed the headaches I have are migraine-related. I was given tylenol initially and might get a stronger medic ine in case the pain persists even after taking it. I heard that imitrex is better than regular ibuprofen for migraine. Is that true?

korbnep
Regular Member


Date Joined May 2007
Total Posts : 327
   Posted 8/10/2009 11:41 PM (GMT -6)   
Imitrex is a headache abortive medication known as a triptan. They are generally regarded as some of the most effective medications to stop a migraine attack. While triptans are indeed used for tension type headaches they are extremely commonly used in migraine treatment.

One important thing to understand is the difference between a drug like Ibuprofen and a drug like Imitrex. Ibuprofen is an analgesic medication, meaning that it is used primarily to treat and reduce pain that you are already experiencing. Imitrex is different in that it is meant to be used to literally "abort" an oncoming headache. It is meant to be administered at the first sign of an attack and it works by preventing the attack itself (or hopefully stopping it from progressing once it's begun) as opposed to treating the symptoms (like pain) that present after the attack has already taken hold.

I would also caution you against leaping from ibuprofen to fioricet. Most good neurologists would never prescribe a drug as strong as fioricet without at least first going through more common migraine abortives like other triptans or ergotamines. Unfortunately it does sometimes come down to having to take a drug like fioricet when the less hard-hitting (and typically more effective) drugs don't work. But most migraine sufferers respond well and can frequently control their migraines with triptan medications.

It should also be noted that Imitrex and other triptans are FDA approved for the treatment of migraine headaches while fioricet is actually FDA approved for treating tension type headaches as well as "muscule contraction" headaches--and not for migraines, though it is commonly used for many types of headaches. Do yourself a favor though and make sure to try the safer medications first.

If you have any more questions don't hesitate to ask!

Ben
DX: NDPH, Recovered(?) CRPS
RX: Lamictal, Concerta (Methylphenidate), Clonazepam, Wellbutrin XL, Namenda, Rozerem, Magnesium (1000 mg/d), Riboflavin (400 mg/d).

PRN: Ketamine nasal spray, Oxycodone, Toradol, Celebrex, Haloperidol, Lodine, Migranal, Zofran, Phenergan, Thorazine, DHE IM, Droperidol IM, Reglan, Ambien CR, Provigil, all triptans


stronglady4me
Regular Member


Date Joined Jul 2006
Total Posts : 470
   Posted 8/11/2009 11:52 PM (GMT -6)   
I LOVE Imitrex! I get barrametric migrains and Imitrex is my best friend. When my doctor suspected that I might benefit from Imitrex she had me come in when I had a headache. My headache as really bad. I had bribed my kids (teacher, 36 first graders) with free time at the end of the day if they could spend the last hour whispering, I turned out the lights, opened the curtains and wore sunglasses to get through the day. The kids were great but it was an aweful afternoon. When I got to the doctor's office they let me go to the exam room right away instead of waiting for the doctor out in the waiting room. I asked to have the lights turned out, still had my sunglasses on and they gave me a warm blanket. The doctor gave me an Imitrex injection and it was a miracle. 15 minutes later I walked out of the office with absolutely no headache. I use the nasal spray today and it takes about 30 minutes to work but it is great.

I have recently seen a neurologist and we are talking about preventative meds. The problem with that is that there can be kidney complications and I already have minor kidney issues and am not keen on taking anything that might make it worse. I also see a naturalpath who gave me a dailey herbal med (Migra-clear) which is supposed to work as a preventative (main ingredient is feverfew) and so far so good.
Stronglady4me
Walk in harmony
 
I refuse to define myself by my condition or the meds I take


korbnep
Regular Member


Date Joined May 2007
Total Posts : 327
   Posted 8/12/2009 9:13 AM (GMT -6)   
stronglady4me said...
The doctor gave me an Imitrex injection and it was a miracle. 15 minutes later I walked out of the office with absolutely no headache. I use the nasal spray today and it takes about 30 minutes to work but it is great.



I just wanted to let the original poster know that Imitrex is available as a pill, an orally disintegrating tablet, nasal spray and as an injection.

There are plenty of other triptan drugs to try if you don't find that you like Imitrex too. They all work in a similar way but many people have different reactions to each.

Cheers,
Ben
DX: NDPH, Recovered(?) CRPS
RX: Lamictal, Concerta (Methylphenidate), Clonazepam, Wellbutrin XL, Namenda, Rozerem, Magnesium (1000 mg/d), Riboflavin (400 mg/d).

PRN: Ketamine nasal spray, Oxycodone, Toradol, Celebrex, Haloperidol, Lodine, Migranal, Zofran, Phenergan, Thorazine, DHE IM, Droperidol IM, Reglan, Ambien CR, Provigil, all triptans


Tom111
New Member


Date Joined Aug 2009
Total Posts : 2
   Posted 8/21/2009 6:37 AM (GMT -6)   
hi there,
Imitrex is really the best remedy for migraines. It helps me a lot.
If you like to order it online , I get it from this pharmacy at discount price. You can save a lot if going to take it for a long time.
Good luck
 
Edited to remove website for sale of medications

Post Edited By Moderator (tysmyboo) : 8/22/2009 4:32:14 PM (GMT-6)


SMP86
Regular Member


Date Joined Jun 2009
Total Posts : 20
   Posted 8/21/2009 11:57 PM (GMT -6)   
When I have a bad migraine if I were to take Ibuprofen you might as well just give me tick tacks! It does nothing to get rid of the pain.
The triptan drugs are designed to abort migraines. They truly are great medications! There are many different kinds. I take relpax because Imitrex does not work for me... the only thing that works for mom is Imitrex. So really it just depends on your body and what works. Try the imitrex and if it doesn't work then try another. If the Ibuprofen ends up working better at taking your pain away I would talk to my doctor about that. There are lots of treatment options out there!

UK1
New Member


Date Joined Jun 2009
Total Posts : 3
   Posted 8/24/2009 2:18 AM (GMT -6)   
Over in the UK I think its called "Imagram recovery".
Its been a God send for my Migraine attacks. I'll take paracetomal when I feel the start of a headache,  if after 30 mins its no better then I take the Imagram because I know its a migraine coming.
Works 9 times out of 10 !!
 
Good luck

krustacea
New Member


Date Joined Aug 2009
Total Posts : 5
   Posted 9/1/2009 11:50 PM (GMT -6)   

Beware of Imitrex and all triptans.  They cause rebound migraines!!  The more you take it, the more migraine attacks you will have.  I'd had migraine headaches 10 years before Imitrex was introduced in the US.  I had an attack every 2 to 4 months; had to be treated with narcotics in ER.  When Imitrex became available I was thrilled; no more trips to ER.  Gradually the migraines increased in frequency until last month I was out of the country for 21 days.  I had 18 100mg tablets of Imitrex with me.  After 14 days I had none left; I'd had a constant migraine, and I had taken all of my Imitrex.  I was terrified.  Don't let your life revolve around Imitrex or other triptans, like I did.  And don't forget that the pharmaceutical companies pull in billions of dollars a year in profit from selling triptans.  Billions made off of our suffering.  Only now is there beginning to be literature available stating that triptans do, in fact, cause rebound headaches.

When I returned home I found a new neurologist.  He prescribed to me Nortriptyline.  It's a preventative treatment, taken every day.  So far I've had remarkable success with it, after having migraine headaches for 29 years, and nearly daily tension headaches for 25 years.  So far, I'm taking only 1/2 of the recommended dosage of Nortriptyline, increasing very slowly to avoid side effects.  I've required only 8 Imitrex, 100mg tablets, in the 25 days since I began taking Nortriptyline.  I've had almost no tension headaches. 

Good luck!


tcool93
New Member


Date Joined Jun 2007
Total Posts : 3
   Posted 9/7/2009 2:32 PM (GMT -6)   
Imitrex or Zomig are great for anyone with migraines.  They don't always work on everyone, and they don't always work every time, but they are FAR better than any other method for getting rid of migraines.  Don't let the poster above this one scare you.  They took far more than they were supposed to be taking, no wonder he/she got rebounds.  Your only supposed to take 4 100mg pills maximum per week (or it might be 4 1/2). 
 
I cut my pills in half in case the 50mg works first.  Although for me it always takes at least 45minutes before it starts to work.  The Imitrex shots, a lot of times will start working within 10 minutes.  The shot hurts though, but its much better than the pain from the migraine.

tysmyboo
Veteran Member


Date Joined Dec 2004
Total Posts : 921
   Posted 9/7/2009 6:54 PM (GMT -6)   
First, my advice to all would be to stick to your doctor's orders about the amount, strength and frequency of medications REGARDLESS of another's post.

Yes, Rebound headaches (aka medication overuse headaches) are very real...but please research this yourself and discuss it with your private doctor.
Sara-Migraine/Headache Forum Moderator
Battling headpain for 17 years.
DX: occipital neuralgia-radiofrequency nerve ablation every 6mo
 
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BLAZER
New Member


Date Joined Aug 2009
Total Posts : 16
   Posted 9/17/2009 10:10 AM (GMT -6)   
   I have had migrains since around 8 years old. Went thru alot of pain for a child back then. The migrains continued. i am know 49 and headaches subsided alot. I did take different medications but one finally worked imitrex. I first tried syring form then now on pills 25 mg and never more then two for one migrain attack as prescribed by my doctor. It works about 95 % of the time and if not i was told to take a second dose which i do not choose to do but instead take tylenol.( and take the pain )  I do not like taking medication if i can stay away from it but you know those migrains are hell. Last imitrex use was on 4 july 09.  I since had a stroke 20 july of this year. My doctors ( neuroligist ) indicated to me he might take me off imitrex due to it might cause another stroke. I will soon find out more on 24 sept when i see my neuroligist.

His Lobster
New Member


Date Joined Sep 2009
Total Posts : 16
   Posted 9/18/2009 12:19 AM (GMT -6)   
I love Imitrex!!  Someone earlier said ibuprofen was like taking tic-tacs and I can totally relate!  Nothing ever touched my migraine pain until I was prescribed Imitrex.  I was re-bounding like mad from OTC pain meds. to the point of having a headache everyday, but once I got the rx for Imitrex that stopped (so did me taking OTC meds for nearly everything-even a cold).  And when I was still having several headaches (more than 5) in a month, my nuerologist put me on Topomax as a profolactic with Imitrex for break-throughs....worked like a charm!!  I was even able to stop taking both for over two years and took excederin for any pain (which wasn't often), but was just recently put back on Imitrex because the severity and frequency of my migraines has picked up again (loads of stress and some other health issues going on now).  My MIL used to take Maxalt (sp?) for years which would put her to bed for a minimum of one day and never really relieved the pain or migraine, now she finally has an rx for Imitrex and it seems to be helping her (when she takes it the right way...at the onset, she tends to wait until it's bad and then takes her meds...).  Good luck!!

AChildofGod
New Member


Date Joined Sep 2009
Total Posts : 5
   Posted 9/20/2009 10:53 AM (GMT -6)   
Imitrex is great! But, apparently once you reach a certain age!? It might not be good for the heart. I don't know what that age is.

For the person who was out of the country, it might not have been the Imitrex that was the problem...I find I get headaches when I fly that Imitrex won't touch. Sometimes they occur on the vacation or sometimes when I arrive home. The doctor said the nasal cavaties inflame due to pressure. I haven't tried it yet, but he gave me a spray to take 3 days prior to flying, to help.

tcool93
New Member


Date Joined Jun 2007
Total Posts : 3
   Posted 9/20/2009 9:32 PM (GMT -6)   
The moderators post is correct about listening to your doctor. I had assumed the maximum was 4 pills per week. My previous doctor, and my previous neurologist at a headache clinic always told me the max was 4 pills per week, but after searching just now, I can't find anything else on the internet that verifies that.

But I do know it can cause rebounds just like asprin, if you take too much. Which I'm sure is the reason why my previous doctors said that. Either that or they changed how its prescribed since then.

doxipups
New Member


Date Joined Oct 2009
Total Posts : 4
   Posted 10/7/2009 12:26 PM (GMT -6)   
Most people are proclaiming Imitrex as a godsend, and for them it may very well be, I can tell you that for the first 15 years that I used it, it completely changed my life. I was an ideal candidate for it based on my health and headache history profile. But this drug - and the triptan family is not for everyone. You must speak with your prescriber, and they must know your medical history and present issues. Blood pressure, heart conditions and risk factors, other medications - including beta blockers, antidepressants, etc, all play a role in which medications can be prescribed. Don't forget, they may not be effective. I have recently added preventatives because the triptans have not been effective, and find myself experiencing more migraines in longer duration 3-6 days rather than 1 day. My last one kicked my but so badly that even after taking an antiemetic and a compazine I was vomiting for over 8 hours and in bed for 3 days with weakness, auditory, oratory and visual sensitivities. Gatorade and sherbet make a wonderful recovery diet.

My local ER is so inept that I have to tell them what to put in my cocktail, they are forever wanting to treat me with IM morphine, it's a joke that #1 they have no clue how to effectively treat migraine pain, and #2 their computers don't come up with a better recommended treatment option. You'd think the patient would not have to tell the PA/MD how to treat them.
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