month long migraine not resolved by Dilaudid

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New Member

Date Joined Jan 2007
Total Posts : 1
   Posted 1/7/2007 12:00 PM (GMT -6)   
My wife and I just spent all night at the local ER trying to rid her of her month long migraine. they gave her phinerghan and benedryle with the hopes that it would work. we told them that it wouldnt; after 22 years of migraines I think we might know how hers work, but whatever, let the doctors do what they think will work and then get the narcotics that will solve it. anyways, im rambling. after an hour or so the benedryle still wasnt working so the doc came back in and gave her an iv infusion of saline and Dilaudid which, as you might guess, removed the pain. I took her home and poured her into bed and passed out myself. This morning when I woke up she was still in pain with the same migraine she had yesterday.

as a child she was diagnosed with chronic, a-typical, excersise induced migraines, and they come in all shapes and sizes; none of which are classic in any sense of the word. her normal course of treatment is klonopine, seraquel, and wellbutrin and it seems to work for her. if her normal round dosnt work her doctor gives her a stadol nasal spray (which is empty after 3 days of use)..usualy the stadol will work. in the instances where it dosnt, she goes to the er for phinergan and demerol, which again removes the problem. as a last ditch effort, doctors have only given her Dilaudid 3 times and only once via IV before tonight. before tonight it would break the migraine and she could go on with her life, as of now she is bed riddin and non-functional.

any help with possible home remedies would be great, or do we need to go back for another round a the er?

Veteran Member

Date Joined Jan 2006
Total Posts : 1308
   Posted 1/7/2007 4:02 PM (GMT -6)   
Hi worriedhubby,

Welcome to Healing Well. Sorry your wife is suffering so with this. You stated that you wife was given an infusion of saline and Dilaudid which removed the pain, but said also that she had pain this morning. Now is the pain this morning a new pain, or the pain that has come back from before? I am assuming here that the pain really did go for a while at least.

Did your wife get some sleep at all last night? Has your wife tried any of the triptans for her migraines? has she seen a Neurologist who is a Headache Specialist? As a Headache Specialist is different to an ordinary Neuro and has a much wider knowledge and experience in treating many types of headache as well as migraine!!!! There are one or two other avenues of treatment to consider but these would have to be discussed with her Neuro to see if they are suited to your wife's situation.

But for now, you need to put an end to this current attack which may mean another trip to the ER!!!!! I truly hope your wife feels very much better soon. Please keep in touch as to how she get on.

take care


Regular Member

Date Joined Dec 2006
Total Posts : 53
   Posted 1/9/2007 10:49 AM (GMT -6)   
Hi Worriedhubby,

Just recently, my migraines have changed dramatically and I've become very familiar with Stadol and Dalaudid. Dalaudid is the only medicine that breaks the pain when it gets really bad and it typically takes several high level dosages for me to break the migraine. When I get this bad, my neurologist typically has me admitted to the hospital, so I would call your doctor and talk to her/him about this.

Please take care and good luck. No one should have to experience this type of pain.


Nicky (coquitlam55)
Veteran Member

Date Joined Jul 2005
Total Posts : 505
   Posted 1/10/2007 5:48 PM (GMT -6)   

Hi worriedhubby,

Welcome to Healing Well. I'm sorry to hear your wife was having such a tough time. Has she been able to relieve her migraine yet?

Another solution, rather than the ER might be to go to your family doctor to get a prescription. Sometimes ER doctors won't prescribe the needed medications because they believe headache patients are drug seeking. Your wife's headache doctor might be more likely to give her the correct medication at the strength that she needs.

I agree with Annuk, the best person to see in the long run is a headache specialist, a neurologist who specializes in headaches. S/he can prescribe preventative medications and provide your wife with the necessary medications to relieve her migraines when they get out of hand.

I hope that you both find some relief. Bless you for being such a kind husband. I am lucky to have one just as kind, and I know how nice it is to have someone to help when you feel like you are dying.

Co-moderator Migraine Forum
"In life you can never be too kind or too fair; everyone you meet is carrying a heavy load. When you go through your day expressing kindness and courtesy to all you meet, you leave behind a feeling of warmth and good cheer, and you help alleviate the burdens everyone is struggling with." -- Brian Tracy

Veteran Member

Date Joined Apr 2006
Total Posts : 932
   Posted 1/10/2007 11:33 PM (GMT -6)   
a bottle of Stadol NS should NOT be gone in 3 days...that in itself will cause HUGE BAD migraines....i've been there. I use it now, and can only have 2 uses, thats 4 sprays a month.
When i have to go to the ER, I get Nubain and Phenergan and it doesn't cause rebound as bad.
I'm sure your wife knows LOTS about rebounds, but sometimes narcs. can be our worst enemy, and sometimes, our best i know the struggle.
If she's had it a month, i would ask to be addmitted and on a drip of DHE/anti-nausea and maybe a pain med.
Good Luck in your endevour!!!
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