I concur with Annuk, it sounds like you need to discuss abortive medications with your doctor. Or perhaps request to see a neurologist, preferably one who specializes in migraine headaches (if you're not already).
Do you have any idea what is triggering your migraine?
A naturopath recommended that in addition to ice on your forehead, also putting heat on your lower back at the same time. It's part of cranial sacral therapy and gets the fluids moving in your cranial sacral system.
As Annuk mentioned the triptan medications are availabe in other forms. I used Imitrex in the nasal spray form successfully. I also like Zomig sublingual which melts under my tongue. Zomig also makes a nasal spray.
I'm sorry to hear that your family is having trouble understanding. It can be hard for non-migraine sufferers to understand that we suffer from more than a migraine and yes a ten minute drive and the stress waiting at the other end can be too much. I have been sick for over ten years and my mother still doesn't get it.
My doctor recommended a combination of medications that seems to work when I have a headache that won't break. I take 2 Tylenol 3s (Acetaminophen with Codeine), 2 Toradol, 2 Gravol (or perhaps in your case phenergen) and an Ativan (sub lingual). The Ativan helps me relax. The Gravol settles my stomach. The Toradol relaxes any muscles or stops them from inflaming and finally the Tylenol 3s kill any pain that's left. I find this can be really helpful for those stubborn migraines that won't react to Amerge, Zomig, Imitrex, or any other triptan.
Good luck, let us know how it goes.
Hi Leigh Ann,
I might have asked this before, but have you tried finding a neurologist or family doctor who will prescribe a regular regimen of narcotics such as morphine? Some neurologists will treat chronic migraines as chronic pain and will administer narcotics for daily use so you don't have to go to the hospital. Possibly a pain center would help. Just some thoughts, because you seem to be suffering so much.
Well guys, tonight was another pain in the posterior region. My PCP had me on two types of narcotics, Stadol Nasal Spray as an abortive, and Lorcet Plus 7.5/650's for breakthrough pain. Apparently, a new doctor to the practice was staunchly against using narcotics for migraines. She would not even approve a Nubain/Phenergan shot for a full-blown migraine. She pitched a fit over this at a staff meeting, and now none of the doctors will prescribe any type of narcotic for my migraines. I was told I was being referred to a pain clinic, which turned out to be a Detox facility. After two months of trying to get an appointment, the director pretty much blew me off and stopped returning my calls. Guess he figured I was already detoxed and didn't need an appointment anymore. He could have at least called me back and explained.
When I went to the ER tonight, the doctor gave me a huge lecture on smoking (which I barely do now) and asked me what I wanted him to do for me. I told him that a pain shot of Dilauded and Phenergan worked best for me. Then the nurse showed up with 1mg of Dilauded and 12.5mg of Phenergan. What a puny dosage!!! I was so pissed because it usually takes at least 3mg Dilauded and 50mg of Phenergan to really make an impact on making the migraine go by. When the nurse came back twenty minutes after my shot, I explained that I had received almost no relief from the shot. She went back to ask the doctor, but he refused to do anything more. I swear, if they are not really willing to do what it takes to adequately treat me successfully, I wish they would have the balls to say so to my face. They always let the nurses catch all the flack.
I'm going to try to hit the hay now. Hope you guys are having better luck than me.
I'm fairly rotten today. It took me a boatload of meds to get to sleep last night with my migraine still entrenched. I did finally get some sleep, but the weather went really bad early this morning which definitely didn't help. In addition, I'm still fighting a sinus infection and bronchitus, and have a mouthful of infected, bad teeth. I went to see my new Dentist again today. He talked options with my mother for about an hour. He took some more x-rays and decided things weren't as bad as he originally thought. He is going to spend an entire morning working to fix all my problems, doing fillings and pulling anything that needs a root canal. I'll end up with a partial denture, but that beats the heck out of full dentures or $30,000 worth of dental implants. He thinks that my migraines may just improve if I can get all my tooth problems fixed. That would be great. Today, again he did a consult, took more x-rays, numbed me up, drilled out a couple of bad roots (I was on Nitrous Oxide, of course) and still didn't charge me anything. I love this guy!!! And to think that I wasted a year with a bad dentist and paid him $4000 to do basically crappy work that needs to be redone. ARRRGH!!!
Beware of asking me if I'm OK. You're liable to get a long response!!!
Thanks for your support.
I'm sorry you're having such a tough time getting the help you need. I'm thinking of you and hope you find a way to solve this.