They're Back.....

Hi everyone! I haven't written in quite awhile, things have been going well-- less headaches, and less intensity- up until november 24th.

With the snow storms returning, it seems to have kicked my migraines into high gear. I'm still working with my neurologist. I'm struggling with my meds-- which dont seem to be working.  I'm on 37.5mg of Effexor ER a day, maxalt mlt, midrin, ultram, and zofran.  I still practice yoga, deep breathing, and stretching everyday.  I have had a #8-9 migraine weds night, thurs night, sat night, sun night, and all day monday (which this one landed me in the er-and had to leave work early). 

My midrin only seems to work if i take 2 with a maxalt and a phrenegan 25mg suppository at the beginning of a headache, then 1 more an hour later. Even then it doesnt get rid of the headache, just brings it down to a 3-4. 

My ultram does not work-at all. Has anyone used this medicine before? any comments?

The zofran is supposed to be the "Caddilac" of anti-nausea meds, but my phrenegan seems to work the best still. Anyone have any comments on zofran?

So monday my migraine started at 10am. At first i thought it was going to be a sinus headache, so i took advil cold and sinus.

10:30 i got my aura, sparkling lights as if i was going to pass out so i took my maxalt mlt. 11:30, no better -- full blown migraine. 25 mg suppository of phrenegan, and 2 ultram.  12:00- nausea better, but pain is still around a 8. My right eye was drooping (which is the norm for the really crappy headaches), and my eyes felt like they were going to explode -- but i kept working.

I have really unsympathetic co-worker who can make my life hell on migraine days. starting at about 1:30 i started throwing up -- repetedly. Anything and everything i put in my stomach came right back out. I worked for 2 hrs like this! Now i work the patient checkin/out desk at my Health Center so i had to keep leaving patients to run to the bathroom.

Finally 4:00 i had hit my breaking point- i didnt leave my co-worker an option, i was leaving bottom line. I went straight to the ER and after I threw up a couple of times on various chairs and one nurse they put me right back to a room. They gave me my usual cocktail, which initally brought my pain down to a 6-7. They also had sinus xrays taken just to make sure it wasnt orginating from a hidden sinus infection -- which it wasnt and i knew that, but i conceded -- and i was right. my xrays were perfect :).

They had to give me pain meds 4 times before i left, and I still left with a headache--it was down to a 3-4, but still there. Since I'm having such issues with my meds working, the nice ER doc sent me home with EXTRA STRENGTH vicodin, which helped me throughout the night after I got home.

Now, i have to discuss my pain meds with my doctor. The midrin and ultram simply arent working. and with the frequency and intensity of my headaches worsening I need more then just maxalt and a daily maintence med.  Im really frustrated. I've tried 10 different meds since May, and I'm not seeming to get much luck. I also think with the stormy weather my headaches are worse and need stronger meds.