I have had a migraine that has been non-stop for 6 days. It was 2 weeks, but after 2 unsuccessful urgent care visits where I requested Decadron/Phenergan (my 50/50 success shot abortive) I ended up in the ER at an out-of-town ER (my dad was being evaluated for a liver transplant; these are total stress migraines) and the doctor gave me Stadol which worked amazingly and broke my migraine for the first time in days and I was able to sleep, catch up on , and get everything accomplished I feel behind on. My migraine returned with a vengeance and I refuse to go to the ERs here because they treat every migraineur as a drug seeker; there are signs saying they will only treat them with non-narcotics. When I become dehydrated from vomiting and my doctor sends me to the local ER, I ask for Decadron because I cannot take Toradol. Which is fine, but as I said, Decadron only works about 50% of the time and my insurance doesn't cover a lot so I currently owe a bit on untreated migraines.
I have had migraines for 15 years. They seemed to be center around my period; I hoped when I had to get a hysterectomy that would take care of my migraines but it didn't. I live in a very small town with no neuros, so I have to drive an hour and a half to see mine. I also have a history of seizures but this current combo of meds seemed to be working: Depakote ER, Topamax, Propanonal, Bentyl, Protonix, Effexor & Klonopin & Ambien (I have been dealing with depression/anxiety as I lost my mom 6 months ago and now may possibly lose my dad), Imitrix prn (doesn't help), Zofran prn and Zanaflax prn.
I am my dad's sole caretaker and I need to be on top of everything and I know this is a stress migraine. My neuro asked what I was doing to combat the stress and I told him I was seeing a counselor, praying and going for walks when I can get out of the house. He suggested hospitalizing me for a DHE treatment but I had that done once and I thought I was going to crawl out of my skin, plus I can't leave my dad home alone. So he said based on the fact I ask for steroids in the ER we can try a Medrol pack, and use Fioricet for pain to break it and if it's not gone in a week he will take me off Effexor and add Elavil because that is a good medication for this type of stress and migraine.
I am leery of being on steroids for an extended period of time because I feel jumpy and antsy but I've never used Fioricet. Will this help counteract that? Has anyone had success with this?
Thanks for sticking this post out, I know it's long
It's been a rough few months and I internalize my stress, then end up like this
* Mom lost the battle to cancer 11/3/12; Dad diagnosed with ESLD Hep C & Cirrhosis on 3/2/13
*Just finished Liver Transplant Eval this week; the case will be presented 5/15/13 and we will hopefully have an answer by the end of the month.
~"O Lord, help me to realize that nothing will happen to me today that You & I cannot work out together"~