Thanks for your replies and input.
Philski - My neurologist tells me that the theory behind Botox is that it weakens the muscles which are thought to "possibly" trigger migraines. They inject the Botox in the regions you generally get your migraines. I tend to get mine in my temples / forehead so that's where I get my injections. The doctor says some people also get them in their necks, though he says some people end up having difficulty holding their neck up as a side effect so my neurologist only injects it in your neck if you really suffer in your neck.
LaurenKunz - I was taken Tylenol 1s, Tylenol with a small amount of Codeine and Caffeine we can get over the counter in Canada, I think it only has 8 mg of Codeine compared to 30 mg in Tylenol 3s. Unfortunately when you're taking narcotics the more often you take them the less effective they are. I am now taking Nadolol, Topamax, and Celexa daily. At the neurologist's direction I am now taking Amerge for a week as a test 2x a day. I have never taken Midrin. I took Amitriptyline once with no affect.
Midrin is like Imitrex, though in it's own category. Imitrex is a triptan used when a migraine occurs. Triptans stops the dilation of blood vessels. Amerge is another triptan. Midrin also stops the dilation of blood vessels and also contains aceptaminophen and a mild sedative.
Topamax, amitriptyline and nadolol are taken daily and used as preventative medications. Topamax is an anti seizure medication, amitriptyline is a tricyclic antidepressant and nadolol is a beta blocker.
Leigh Ann - Thanks for the input. I am under the care of one GP and one neurologist who know my history well and don't prescribe medications without checking with each other.
My neurologist is known as one of the best in my province so I feel confident that when he gives me the direction to do somethinng that its okay. Though that doesn't mean that I don't educate myself so that I know what to expect when it comes to potential side effects.
My neurologist has me taking 2 Amerge a day as a test for a week based on a recent study that he has read and analyzed and feels comfortable in the results. If this is successful I will stop for a week to test that it is the Amerge working and then will retest. If I find that the Amerge is working after three weeks I will return to see him. He is monitoring my progress closely because this is new territory.
Zomig and Amerge both have warnings about interactions with anti-depressants and I'm taking Celexa right now and have not had any interactions. My GP and my neurologist are both aware that I'm taking Amerge and Celexa and I have discussed the switch from Celexa to Effexor with both before deciding to go ahead with it. I have considered stopping Celexa because of the possibility that it is triggering my migraines, but I'm concerned about the emotional effects of the Topamax.
I had no idea about the quantity of pain pills...How are you doing with that?
Much better, I generally only take 2 to 4 Tylenol 3s in a week now and 2 to 4 Toradol a day when I have a headache. The Amerge is working. I have only had one headache since seeing the neurologist. That's a miracle for me. Usually it's the other way around. For me, if this is the treatment, cost is going to be an issue. As it's not an approved treatment, my medical coverage may not pay for it and the pills cost $15 each and I'm taking 2 / day. Well, we'll see at the end of the week.
Hang in there Nicky...
I know what you mean about cost...that's why i am working two jobs and wearing myself down. I have to be careful. I am so afraid that I am pushing too hard and that a big bad migraine attack is just around the corner and that I am not going to be able to recover from it. I know that is a bad way to look at things and I need to be very positive but I am being realistic at the same time.
Talk to you soon
Hello Nicky: I was reading some of your earlier posts and came across that you are using botox injections and that your migraines also make your neck hurt. I am just wondering. Does the botox help any for the neck pain? I am thinking about asking my doctor about this for my neck pain but don't want to if if doesn't help. I have already tried nerve blocks and that didn't help. Just curious.
Check with your pharmacist/doctor about the interactions with imitrex and effexor, I had a doctor who prescribed both at the same time, I never did take them together though.