Doctor won't continue opioid protocol started in WA, what to do?

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    My migraines started when I was 16, and became "Chronic Daily Migraines" when I turned 30. I am now 49 and I have been on about 36 migraine drugs, had biofeedback, acupuncture and acupressure, Botox injections and many, many other tests and procedures. I belonged to Group Health HMO in WA state for 30 years. My current treatment is a narcotic protocol set up in WA state following WA state guidelines for chronic pain patients who are not cancer patients. I was remarried a year ago and moved to GA where I cannot find a doctor to continue my current protocol. What do I do, I feel like I am not being properly treated and I am in constant pain with no relief in sight! What do I do? Joyce.

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    Dear Joyce;


    Your question is excellent and I have no ready answer, short of traveling from Wa to Ca. For the most past, opiate protocols fail due to tolerance and opiate-induced hyperalgesia. There's also the issue of new research showing that any use of barbiturates or opioids and frequent use of triptans and NSAIDs are associated with increased risk of transformed Migraine. For more information on this, please take a look at Transformed Migraine - Risk Increased by Some Medications. Good luck in your search for relief.


    Best regards,
    John Claude Krusz and Teri Robert



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    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated January 8, 2010.

Published On: January 09, 2010