My daughter only started on migraine medication a few weeks ago is on 2 x 50mg propananol per day as a preventative was prescribed this 8 days ago. The other meds are for when she has a migraine.
When a migraine starts and if it is painful I have to give her 2 pink migraleve and 1 sumatriptan. if she is still in pain two hours later I have to give her one sumatriptan and one diclofenac, if she is still in pain two hours later I have to cease the sumatriptan for this migraine attack as it should have worked by then and I have to give her two yellow migraleve tabs. After this it goes on a four hourly cycle if she is still in pain.She has up to a maximum of 8 migraleve and 3 diclofenac in a 24 hour period. This can continue for up to four days. I did query the medication and amounts with the doctor who assured me she was within appropriate limits.
I have been trying to learn about migraines which was how I found this site and have read a bit about the medication themselves having the potential to excacerbate a migraine and pain levels for people. What I have been trying to do is when the pain is excessive keep her on the higher dose but as the pain levels reduce reduce the migraleve to 1 yellow tab difficulty is that last two migraine attacks have been really painful. I dont think any parent wants there child pumped full of drugs and to be honest she has tried the sumatriptan with the last two migraines and they have not worked so do not see the point in her taking them again which I will discuss with her doctor.
I think at the moment it is trial and error and the medical proffesion are trying to reduce her pain levels until she see's a specialist. Karen I dont know if she needs both sumatriptan and diclofenac, to be honest I was more worried with her being on propananol permanently at 14 years old and the fact it is a beta blocker. I suppose what your query has shown me is that I havent a clue what my child is really being prescribed and I need to research this much more thoroughly so thank you for that.