"Pre"-treating migraines

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Regular Member

Date Joined Apr 2007
Total Posts : 189
   Posted 8/13/2007 10:14 AM (GMT -6)   
I am wondering if anyone else medicates themselves before they get a migraine.
My neurologist has told me to take all my abortive meds any time that I know the barometric pressure is changing (my trigger) and now, any time that I work at night (the only other trigger we can identify), he wants me to pre-medicate before going to bed.  So far - so good.  I haven't had a migraine yet when following this treatment plan.
I worked Saturday night and decided that I wouldn't take my meds before going to bed.  Why?  I feel like I take so much medicine and I wondered if it was really working or if it had been a coincidence.  I haven't had to go to the ER since I started doing this "pre-medication" bit.  Well.......yesterday, I woke up with a headache.   I fought it all day, took all my meds (but didn't keep any down as I was vomiting) and by 6:00 last night, was begging my husband to take me to the ER. 
Let me just say that since starting the pre-medicating after working, I have not taken my Dilaudid.  I decided that I shouldn't be taking Dilaudid that often so I use Relpax, Prednisone and Lortab.  I actually feel that the Lortab does just as good of a job, if not better, than the Dilaudid.
I guess I am just wondering what you all think about taking that much medicine?  It sort of bothered me until I got this past headache when I didn't take it and now, I am not sure it bothers me much anymore.  The ER had to give me a total of 8mg Dilaudid, plus steroids, plus Zofran, plus Toradol before I even got where I could tolerate the pain and come home.  Then, when I left, I still had a headache, so I ended up taking all my abortive meds anyway before I went to sleep.  Today, I am fine.
I truly believe that all my preventatives are working pretty good except for the trigger issues.  Before I had the preventatives, I seemed to have a migraine every day so in the respect, my migraines have decreased significantly.  I also am so pleased with how the abortives work - I am 100% convinced they are doing their job when I take them.
Any thoughts?

DX:  Migraines since June, 2006, kidney stones
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray

Regular Member

Date Joined May 2007
Total Posts : 328
   Posted 8/13/2007 3:10 PM (GMT -6)   
I'm pretty sure that you're not supposed to take Relpax more than 2-3 days a week and you've gotta be careful with prednisone and especially the vicodin.  I have medicated in anticipation of a migraine, or have taken meds knowing that I was going into a situation in which I really needed to avoid having a migraine.  But, even aside from rebound, I think it's best to only take abortives when you actually have a migraine coming on.

DX: NDPH, Recovered CRPS
RX: Lamictal, Abilify, Verapamil, Provigil, Clonazepam, Rozerem, Emsam
PRN: DHE IM, Droperidol IM, Toradol IM, Haloperidol, Zyprexa, Lodine, Thorazine, Zofran

Veteran Member

Date Joined Aug 2005
Total Posts : 617
   Posted Today 8:29 PM (GMT -6)   
Hey baseballmomof3,
Taking your abortives, the Relpax and Prednisone, when the probability is very high might get a jump on things, but you really should not take them until you actually feel the first sensations you get when you start a migraine.  Use the Lortab and the Dilaudid for further down the line, if the abortives don't work.  You really shouldn't take the abortives more than twice a week, but I know that with weather being one of your triggers (mine too!!!), sometimes there is are fronts that come through on a daily basis, when you may have to depend more on your emergency pain meds.
Taking them before you go to bed is more sketchy.  What is it about working at night that gives you migraines, after you have finished up, gone home, and are ready for bed?  Do you switch shifts a lot?  Is it bright light coming in your windows when you are trying to sleep that does it?  Are other people where you live up and running around making noise?  This one perplexes me.  If you can hold on to your Lortab and especially Dilauded until you are actually in pain, it would be much better.  It's far better off taking those drugs at home, that having to get them via IV after waiting whoever knows long in the ER.
Hope this helps some.  Let us know.
Leigh Ann cool

Basic info:
  • On Disablility for: Chronic Migraines, serious Back and Knee problems (will need surgery eventually), moderate Depression, Anxiety/Panic disorder, TMJ 
  • Divorced, 42, no children
  • Surgeries: Gastric Bypass, Gallbladder Removed (followed by a week in the hospital for a Blood Clot), Kidney Stone Removed, Broken Ankle, Major Dental work(four molars pulled, multiple cavities, root canals) 
  • Current Meds: Lexapro, Klonopin, Wellbutrin, Migranol, Trazadone, Buspar, Nexium, Skelaxin,  Phenergan, Chantix, Iron Pills, PROHIBITED FROM ALL NSAIDS
  • Current Problem: Internal Bleeding, possible ulcer in location of Gastric Bypass
"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett

Regular Member

Date Joined Apr 2007
Total Posts : 189
   Posted 8/16/2007 11:16 AM (GMT -6)   

Hey Leigh Ann - how are you?  I have been wondering how you are doing!  Thanks for your response.  The neurologist told me that variations in sleep patterns can be a huge trigger for some with migraines.  He said that those actually go hand in hand many times with the people who get migraines from barometric pressure changes.  If I change my sleep patterns just by a couple of hours, no problem.  It only seems to bother me when I work - my normal work hours are 7pm until 330 a.m. and usually get home about 5:00 a.m., get into bed and asleep by 6:00 a.m.  I try to only sleep until about 10:00 or 11:00 - sleeping much longer will guarantee 100% a headache.  Anyway, I do this only about 2 nights a week so you can imagine how messed up my body is regarding what time it is.

I worked last night and came home and took my meds (mainly because I know I have to be out and about today - I actually have an appointment with the neurologist this afternoon) and so far, I feel good.  I am going to ask him what the alternatives are.  I am so frustrated - find something that works but probably shouldn't be taking it.  It makes me crazy!!!!  (Maybe I just am crazy to begin with - some days I wonder). 

The other thing - has anyone ever decided what the right criteria is for going to the ER?  Sunday I probably could have toughed it out until the next day or the next (maybe) but after vomiting and staying in bed until 5:00 Sunday afternoon, I gave up and went to the ER.  I truly decided that I didn't want to miss my kids' first day of school with a Migraine.  It is hard to not want to rush right to the ER.  I know that three hours in the ER can save me 3-4  missed days of life.  HOW DO YOU KNOW WHAT TO DO?  I hate going to the ER just because of the stigma - I am not a drug seeker - well, okay - I am not one when I don't have a migraine.  I am one when I have a migraine that feels like it is killing me.  All I want is to live my life without missing all of the special things!  Please, someone give me some answers.

Meds vs. no meds.  ER vs. no ER.  HELP!

Leigh Ann- noticed that you are having stomach problems.  Please let me k now how you are doing and know I am thinking about you!

Have a great day!

DX:  Migraines since June, 2006, kidney stones
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray

Veteran Member

Date Joined Apr 2006
Total Posts : 932
   Posted 8/16/2007 12:57 PM (GMT -6)   
I left you a reply on the CP forum. I completly understand where your coming from, and i wish I can the words to fix it all.
Just one thought. Have you ever heard of the Law of Attraction?? The Secret??
Its basic point is that our thought can actually attract things into our life. For example, when I was sick all the time, my thought process was, I'm always going to have migraines, always be on meds, always be in pain, and it was like i was putting in an order for the same things. Once I got to a place where I changed my thoughts to,
I AM WELL, I have all the engergy I need, I CAN, (i didn't even put the word migraine into the thought like "i don't have migraines, b/c your body is still hearing migraine'
I am hear to tell you that this works. You should get the DVD of The Secret. Its long, but if you apply the law of attraction into your life, it really does change things.
Point being, pre-medicating is almost like your body putting in an order at the drive through, and shortly you'll just drive around to pick it up, and a migraine hits you.
Does this make any sense??
I encourage you to look up Energy med, Law of Attraction, and Psych-k. If nothing else, read and do what is in the post on CP forum, maybe this one too actually, about the 5 mintute energy routine. do it an extra time on the days you work nights, or feel a migraine coming on. What will it hurt??
Best to you my friend
DX-Migraines:Poly Cystic Ovarian Syndrome:
I am WELL!! 
Meds: ProzAC 40mg, Klonopin 1mg BID , Ambien 10mg
PRN- Imitrex INJ, Pherergan, Actiq 600mcg(fentanyl suckers) for migraine breakthrough pain
 NO MORE MEDS!!!! Doing engergy medicine
May God give you a reason to smile today, an extra reason to laugh, and bring joy to your soul.

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