Migraine Drugs at ER

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SmoothKitty
New Member


Date Joined Sep 2010
Total Posts : 3
   Posted 9/22/2010 3:33 PM (GMT -7)   
I have been taking a MOA Inhibitor for depression, but I'm in the process of weaning myself off of it. Until I have been off of this drug for two weeks, I can't take my regular migraine medication (Treximet).
 
For the past 36 hours, I've had an extremely painful migraine. I've tried all the usual tricks (heat, cold, peppermint tea, dark room etc., etc.), plus some rather outlandish ones, from the desperation to get free of the pain. I'm wondering...is there any point is going to the ER?
 
When they find out I'm taking the MAOI, would they just say "Sorry, nothing we can do."? Or is there something they CAN give me for the pain that won't interact with the MOAI?
 
Pleeze help!  shakehead

SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 9/22/2010 3:40 PM (GMT -7)   
Call your GP (regular doctor). I think Immatrex would be safe, but I am not 100% sure. In fact, you can even call your local pharmacist and ask what kind of pain killers can be taken with MAOI inhibitors. Your primary doctor will tell you what to do. And, yes, there are some medications you can take that wont interact that bad....
Don't Care Bout Nuffin No More, Guess I shouldnt even be in this world

SmoothKitty
New Member


Date Joined Sep 2010
Total Posts : 3
   Posted 9/22/2010 4:01 PM (GMT -7)   
Thanks for writing Smurfy,

Any of the triptans (Imitrex, Relpax, Frova, Treximet, etc.) are a no-no with MAOI drugs. There are so MANY things that interact with MAOIs. Various foods and drinks, and most drugs.

I have been Googling some of the afternoon with one eye. (Ice bag on the other eye.) I was trying to find out if there is any drug at all that ISN'T dangerous with MAOIs that perhaps I could get in an ER. I'm probably not using my search terms correctly, but I haven't had any luck.

Can't get ahold of my PCP until tomorrow morning after 9 a.m. Have already spoken to pharmacist, who could tell me what already know, but not what I needed to know. In other words, he didn't know what would be available at the ER that wouldn't interact. Even called ER but, of course, couldn't get past their voice mail system.

So, I thought if I joined a forum with a lot of drug savvy members like this one, perhaps someone would have the info I'm looking for.

Ah well...back to the Ben Gay and heating pad. ;-)

SmoothKitty

~Liz
Regular Member


Date Joined Oct 2007
Total Posts : 120
   Posted 9/23/2010 3:05 AM (GMT -7)   
Hi Smoothkitty,

I can't guarantee any of this information, you have to check with a doctor first, but I've been on an MAOI in the past, and I was given Relpax, Frova, Amerge, and Axert (at different times, of course), so I know there are safe drugs that you can take for migraines with MAOIs.

Also, if you're ever worried about a combination of medications you're on, you can always find a "drug interaction checker" on google and type in all of your medications and it will tell you if there are any bad interactions you need to worry about. Good luck, I hope you feel better soon!


~Liz

SmoothKitty
New Member


Date Joined Sep 2010
Total Posts : 3
   Posted 9/23/2010 4:41 AM (GMT -7)   
Hi Liz...

Actually I have all of those meds you listed (and more!) right here at home. My MOAI is Nardil, and even though my Dr. said "don't ever" take them while I'm on the Nardil, I checked the interaction checker when I first began taking it. Relpax, Frova, Amerge, etc. are the brand names. The drug names of these meds all end with "triptan." Taking a triptan while on Nardil can cause a potentially fatal serotonin syndrome and/or a hypertensive crisis. These conditions, at best, would lead to a fast trip to the ER.

Aha! Speaking of the ER, my original question last night was about taking myself to the ER for an injection of something that would help or relieve this horrible migraine. A couple of times in the past I've done that and was given a shot of Demerol. But, you guessed it, Demerol and Nardil could cause a potentially fatal reaction.

I managed to fall asleep for about 4 hours straight during the night, but I still have the headache. Will call Dr. after 9:00 a.m. and see if there is ANYTHING that can be done. Thanks for writing Liz. It means a lot, especially as I see you wrote me at 5:05 a.m.!! :-)

SmoothKitty

~Liz
Regular Member


Date Joined Oct 2007
Total Posts : 120
   Posted 9/24/2010 7:46 PM (GMT -7)   
Hello SmoothKitty,

Well, I do know there is more than one type of MAOI, and I'm not sure which one I was on. Also, I was in a hospital while I was getting treatment, so it's possible I was being experimented on, that's why I said you needed to talk to your doctor first :P Either way, I would go into the ER, there has to be something they can give you for pain. And you're welcome for writing (I'm always up late, or technically early lol).


~Liz

SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 9/29/2010 9:00 PM (GMT -7)   
syptom checker can be found at drugs dot com lolol.
Oh I hope I didnt break any rules there, did I?

And what you can do is call the pharmasist and ask "what drugs are safe to have with maoi inhibitors in the lines of pain killers?" Any ER, will remotely carry about anything except venim for snake and spider bites.
Don't Care Bout Nuffin No More, Guess I shouldnt even be in this world

~Liz
Regular Member


Date Joined Oct 2007
Total Posts : 120
   Posted 9/29/2010 9:10 PM (GMT -7)   
Hello SmoothKitty,

I don't know if Toradol works for you, but from what I can see, that does not interact with Nardil, and I think all ERs carry it.

Hope you're doing well,
~Liz

mercyme
Regular Member


Date Joined Feb 2005
Total Posts : 310
   Posted 9/30/2010 6:50 PM (GMT -7)   
  
 
 
   Hope you are feeling better.  I just got back from UVA where they did the DHE intravenous treatments. I also had some injections in my head.  I'm doing better then before the treatments. I was having migraines everyday, now I only have had three since the treatments but they were mild compared to before the treatments. I take migrnal nasal spray when I feel a migraine coming on. 
 
   Many Blessings ~  Mercyme

Nitemare
Regular Member


Date Joined Aug 2010
Total Posts : 26
   Posted 10/1/2010 5:56 PM (GMT -7)   
Sorry to hear of anyone suffering as I did, I started in grade three and at the age of forty my Dr. put me on Sibellium. within two week no more Migraines, I was told you do grow out of them by around fifty five and indeed as I weened myself off they never have returned. The only thing that actually worked when I was in the throws of one were were 1/2 c of Furinole, Demerole was like taking an Asperin but for some people it works. My spelling is horrible but check with your drug interactions first, Good Luck My Dear

Kawasakizx10
New Member


Date Joined Oct 2010
Total Posts : 15
   Posted 10/10/2010 6:19 PM (GMT -7)   

With MAOI's you can take imitrex.  Why do you think that you can't?  They do say that you should check with your doctor when taking an MAOI if taking a triptan and to be careful because there can be a reaction such as serotonin overdose, but this reaction is supposed to be rare.  Otherwise, can you get a script for fioricet or toradol or tylenol 3 from your GP?  scripts are really cheap and they will help for the couple of days while withdrawal is occurring from the MAOI.  Most of these medicines you can order online for less than $50 for 30 pills and it's perfectly legal.  Just remember though anything with caffeine or narcotic agents can cause dependency and cause a w/d headache. 

THe ER can give you dilaudid, morphine or demerol intravenously and they may or may not work.  They may not give you any narcotics though because they are very worried about giving abusers meds in the hospital.  Just an FYI.  Probably the easiest med you could get that might be effective at the ER would be toradol.  I have had them more than once and they are helpful, but definitely not worth the wait money and relief.  I would try to get a script for fioricet and some ibuprofen and then ice and take a warm shower.  Much cheaper.  Hospitals can be a real hassle to deal with.  I personally have never received narcotics for headache pain from the ER.  If you can get the imitrex shot and the toradol that can be a pretty good combination.  I really don't like the benedryl they like to give... it knocks you out...  which when you come to I feel like my headache is twice as bad.

Hope this helps.
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