Migraine characteristics changed, verapamil, waking with Migraine?

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  • Full Question:

    I have had migraines for about 16 yrs and I take verapamil ER 120mg, 2 tabs at bedtime along with chlordiazepox/amitrip 5/12.5mg 2tabs twice daily and 800mg Motrin as needed and Imitrex as needed. The migraine characteristics have changed some over the years. For at least the last few years I will wake up with the migraine, can you offer any help. I tried the verapamil 1am and 1pm, but I would get low blood pressure symptoms. Thank you, Jeanne.


    Full Answer:

    Dear Jeanne;


    Verapamil ER should be taken once a day because it's time released to last for 24 hours. When you took at at 1 a.m. and 1 p.m., that could have been the reason you saw blood pressure issues.

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    Waking with a Migraine is often an indication that the trigger is a sleep problem:

    • too much sleep
    • too little sleep
    • disrupted sleep
    • poor quality sleep
    • irregular sleep schedule

    Have you and your doctor discussed your sleep? If not, you should. Many people really have no idea they're have sleep issues until a doctor asks the right question. There's information on this in our video Migraines, Headaches, and Sleep.


    Whenever Migraine characteristics change, it's time for a discussion with your doctor. If you haven't already done so, it's time, and do remember to talk with your doctor about your sleep.


    Good luck,
    John Claude Krusz and Teri Robert



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    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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    Last updated March 3, 2012.

Published On: March 03, 2012