years of success with Imitrex for menstrual migraine; now it's causing panic attacks; lower dosage??

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Date Joined Dec 2010
Total Posts : 97
   Posted 2/13/2018 11:06 AM (GMT -6)   
Hi all,

I have taken Imitrex for ages to abort menstrual migraines. Now I am entering a later stage of perimenopause and so thankfully have to deal with this problem less often (I'm 51). I just went 119 days without a period, which was by far my longest gap ever. I will be thrilled when they finally come to an end!

Anyway, during that gap I took Imitrex a couple of times for breakthrough headaches. But I found I had a panic attack in response (twice)-- something I've never had in my life, though one of the perimenopause symptoms has certainly been a lower level anxiety. Fortunately they did not last too long (maybe 10-15 min.?) but it was horribly unpleasant.

I have been taking Imitrex 75mg-- I cut one 50mg pill in half and take it with another. My dr. suggested maybe a lower dosage (just 50 mg) might work and not cause this problem. I am curious if anyone has found that a lower dosage triptan causes fewer side effects, especially of this kind.

I am actually about to go on a trip and just got this period yesterday, so am freaking out a bit. Normally I never travel without the Imitrex, and now not sure what to do! Sometimes icing my head for a long time (like half hour) helps, but this morning I still have the migraine-is-coming feeling after doing it for ages.

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Date Joined Apr 2012
Total Posts : 7383
   Posted 2/17/2018 8:09 PM (GMT -6)   
I would call your Doc and see if there is a rare side effect that can happen with women pre and menopausal.

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DX: reverse Trigeminal Neuralgia;Cluster headaches; Atypical face pain;Hemicrania Continua; raynauds;complex PTSD; recurring MDD,disassociative disorder;
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