Basically I am looking for a second opinion of sorts, or maybe just a another ear. My blood pressure runs an even 110 over 65, but during a migraine it will rise with the pain. In fact just this past week when I went in for a Facet block (during a migraine attack) my blood pressure was 173 over 111. I was placed on an IV and given Demerol and Phenergan. After about 45 minutes my blood pressure had come down to a reasonable 129 over 85 and my migraine was tolerable ... just the throbbing. We went ahead with the Facet block. Anyhow, my doctor has put me on Procardia (10 mg 3x a day) to lower my blood pressure even though I usually run low. My concern is in taking a vasodilator when I have migraines (and would need a vasoconstrictor). I asked my doctor about this (he is my new doctor, a pain management referral from my neurologist), but he did not have an answer for me. Basically he said let's just try it and see if it works. I am a microbiologist, so anything scientific will bug me until I get to the root of it.
Can you possibly give me any help/explanation in this matter that will lift some of my concerns?
Thank you in advance,
Published On: February 22, 2008