9/10/07 #9 - Triggers are heat, sunlight, bright lights. What more can I do?

Ask the Clinician Health Pro
  • Full Question:
    Hello, I have had migraines for 20 years I am a 41 year old female. My triggers are heat and sunlight and bright lights. I use very dark sunglasses. They only help 50% of the time. Right now I am on Neurontin 1800mg in the am and Inderal LA 160mg in the am. When I get a headache I take Relpax 40mg. The problem is I am taking a lot of Relpax everyday or every other day. My insurance only pays for 6 and my doctor also gives me samples. I want to know what else I can take or do? My life has become absolutely miserable. I stay in the house a lot, because of the sun. Thank you Brandi.

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    Dear Brandi;


    It's especially rough when your triggers are environmental triggers that are so difficult to control. Still, with the right preventive regimen, you should be able to greatly reduce the frequency and severity of your Migraines, even with your triggers. If you've given your current preventives a fair trial of a few months, try talking with your doctor about trying different preventives. If your doctor doesn't have ideas of what to try next, it's time to consult a Migraine specialist. There's a link to our directory of recommended specialists below.


    Another issue that you should be aware of is the possibility of medication overuse headache, aka rebound, if you use triptans such as Relpax more than two or three days a week. See Medication Overuse Headache: When the Remedy Backfires for more information.


    Good luck,
    John Claude Krusz and Teri Robert


    If you need to find a headache and Migraine specialist, please see our listing of patient recommended specialists.



    About Ask the Clinician:

    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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    © Teri Robert and J.C. Krusz, 2007.

Published On: September 09, 2007