How many migraines a month??

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lovmyboyz
New Member


Date Joined Jul 2007
Total Posts : 2
   Posted 7/22/2007 8:29 PM (GMT -6)   
Hi - My husband thinks I'm addicted to my migraine meds.  I take Maxalt, but easily go through the 9 in one month that my insurance covers and frequently run out or deal with the pain trying to "save" them... I'm so tired of this cycle.  I've suffered with these for probably 6-7 years now, and haven't really found my specific triggers.  Just wondering how many migraines are too many before I should see a specialist, which I've never done.  My doctor just keeps giving me more maxalt, without really knowing what might be a problem... thanks for anything you can share.
 
Chery

jko
New Member


Date Joined Jun 2007
Total Posts : 14
   Posted 7/23/2007 6:29 AM (GMT -6)   
In my humble opinion, anytime that I have more than one migraine a month it is too much.  In fact one migraine a month is too much.  I take MaxAlt and my physician just increased my dosage to 50 mg.  This has helped some.  I have had migraines for over 35 years. 
 
My suggestion is that it is time to see a specialist.  Most general physicians don't really understand migraines.
 
You are your own best advocate.  If you haven't had any diagnostic testing such as MRI or CT scan, now may be the time to emphatically state it is time.  At least this would rule out any other possibilities.
 
Also look at food triggers such as MSG, chocolate, nuts, cheeses, sodium caseinate, aspartame, wine, mushrooms,etc.  Keeping a food diary helps, too.  Sometimes certain smells will set off a migraine for me as well as a flashing light like a strobe light.  Gasoline or exhaust fumes can also do a number on my head.
 
Hope this helps.
 
 
  Hugs, Hope and Prayers,
  jko


baseballmomof3
Regular Member


Date Joined Apr 2007
Total Posts : 189
   Posted 7/23/2007 7:44 AM (GMT -6)   

lovemyboz, my mom and brother have suffered for years with migraines - neither had ever seen a neurologist for them - only their regular docs.  When I first started with migraines (last June), I went to my regular doc (whom I can't stand) one time, he basically blew me off as a whining woman and I swore I would never go back.  There are only two neurologists in the area where I live and I asked around the hospital where I work which one to use.  All fingers pointed at one of the docs so I made an appointment.  I am so thankful that I did (without delay).  He spent over an hour with me at my first appointment.  He explained to me how most docs do not understand migraines and truly don't want to get involved with treating patients who have them.  Why?  Because it takes so much time.  My doc told me at our first appointment that treating migraines is ongoing (probably forever).  He said it would take awhile (probably) to get my meds adjusted where they were working.  He also told me, up front, that even if, and when, we found meds that worked, they might work for awhile and then stop working and then we would have to change and go through the process all over again.  He said that the goal is not to get rid of migraines completely (although, he laughed and said if he could do that, he would be very rich) but to reduce the frequency and severity.  He also said that his goal was to keep me out of the ER and the hospital.  That appointment was like music to my ears!  He actually spent time talking to me and explaining and was so very compassionate.  I think he is extra sensitive because his wife sufferes from migraines.  He told me I wasn't crazy!  My brother and mom have both used him since I started and my brother has had so much success, also.  My mom is a whole other story.

He also explained to me that migraines are not "just headaches" where you can take a couple of Motrin and keep going.  He explained that migraines make every blood vessel in your body (not just your head) dilate.  This is what makes the headache so painful and also why you feel so lousy after you get rid of a migraine.

My advice - find yourself a good, caring neurologist.  Make an appointment and then, if you don't think that doctor is compassionate and knowledgable about treating patients with migraines, find another.  I know it is frustrating, exhausting, expensive and depressing to keep looking, but it will be worth it when you find a doctor who cares.

Good luck and let us know how you make out.  Having to take that much Maxalt a month is not "controlling" your migraines.  You need something that is more effective as an abortive but also need something to take as a preventative!

 


DX:  Migraines since June, 2006, kidney stones
 
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray


lovmyboyz
New Member


Date Joined Jul 2007
Total Posts : 2
   Posted 7/24/2007 9:20 AM (GMT -6)   
Thank you for your replies. They were helpful, and I guess I need to find a nuerologist!!

holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 7/25/2007 11:43 AM (GMT -6)   
I am just wondering if you can cut the pills up and take a "crumb" and get relief? My mother gets Imetrex. However many are in a box, she gets every 60 days. Well, she gets migraines everyday, so she cuts each pill up into literally 7 pills and she actually still gets relief. I personally take Relpax for my migraines and unfortunately have to take the whole pill.

baseballmomof3
Regular Member


Date Joined Apr 2007
Total Posts : 189
   Posted 7/25/2007 12:17 PM (GMT -6)   
You should only cut pills in half if they are scored by the manufacturer.  Be sure to ask either your doctor or your pharmacist if your meds can be cut.  There are meds out there that if you cut them, they can hurt you (for instance, oxycontin should never be cut).  Relpax comes in two different dosages - 20mg and 40 mg.  I had always had the 40mg prescribed until the last time and for some reason, my new prescription is for 20mg tabs.  I thought maybe I could get by with just the 20mg so I tried it.  It didn't work and I now just take 2 of the 20mg tabs (I spoke with my doc who said this is fine - I just wanted him to be aware so that when I needed a refill, he would understand why).
 
I believe it is always best to take the smallest amount of medication that works for you.  If you have pills that are scored and that are made to be cut, then if 1/2 works, even better.
DX:  Migraines since June, 2006, kidney stones
 
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray


23andlosing
New Member


Date Joined Jul 2007
Total Posts : 7
   Posted 8/1/2007 1:43 PM (GMT -6)   
Ive had a neurologist for the past two years, and since he can't find anything to help with the migraines, I take Migquin (which my insurance only allows 20 a month) and also Fioriset (30 a month)

This doesn't last me a whole month, since, I get migraines at least 4 days a week, and many times I have to take a couple doses of the stuff to keep my sanity.

korbnep
Regular Member


Date Joined May 2007
Total Posts : 327
   Posted 8/1/2007 10:13 PM (GMT -6)   
As much as many of us need a LOT of drugs to keep our sanity, soetimes it necessary to take a day or a few off, to prevent rebound, or medication-overuse, headache. Most days I need something for my head, but many doctors will say that it's smart to limit yourself to 15 treatment days/month. If you need more, it may be best to look for a better daily medication solution. I admit that I take meds more than the 15 days a month, but it's really important to be careful and not overload.


DX: NDPH, Recovered CRPS
RX: Lamictal, Abilify, Provigil, Clonazepam, Rozerem, Emsam
PRN: DHE IM, Droperidol IM, Toradol IM, Haloperidol, Zyprexa, Lodine, Thorazine, Zofran

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