10/15/07 #1 - Waking with Migraines, sleep disorders?

Ask the Clinician Health Pro
  • Full Question:
    Hi, I have suffered with migraine for over 34 years. This past year they have increased in frequency to the extent that I am experiencing some form of migraine 5 out of 7 days. My question is about waking up with one.


    I always wake up with the migraine and have to take my abortive and wait for things to subside. I am on hormone replacement as well as Cymbalta, thyroid replacement and melatonin at night. I sleep quite well, which confuses me, because I know that sleep disorders can be a huge trigger. Any suggestions I can take to my doctor? Thank you, Candace.





    Dear Candace;

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    First off, are you seeing a headache specialist? If not, then seeking an expert would be wise. Secondly, 1/3rd of Migraineurs have what are called early morning Migraines, usually between 3 and 8 AM. You might be in this group. I have found that the “usual” recommended doses of melatonin (3mg) are wholly inadequate for good sleep quality. I usually have folks go slowly (every 2 weeks) up to 9-12mg, and take the melatonin 1.5 hours before sleep time. This is, of course, something you need to discuss with your own doctor, as you said.


    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.


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

Published On: October 15, 2007