11/20/07 #3 - Hysterectomy, Migraines, chronic daily headaches?

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  • Full Question:
    I have been suffering from migraines since I was a teenager. Since I have become older (I am 48) they seem to have increased in severity and duration. I had a hysterectomy at 44 and hoped that it would solve my migraines, but no, I still suffer from migraines. I am currently under the care of an excellent (and very patient) neurologist. I don't think that there is a preventative that I HAVEN'T tried! Right now, I have evolved to chronic daily headaches that, while not as severe as my regular migraines, the only thing that helps is a triptan. Have you got any suggestions? I have had all the tests including MRI. Everything comes out normal. Depakote ER did help, but I gained ~30 lbs and began loosing hair. Unable to take other neuroleptics because of side effects (I am a pharmacist, so I need to be on my toes). Have taken: beta-blockers, calcium channel blockers, tricyclic antidepressants, SSRIs, Depakote, Topamax, Lyrica, magnesium, B2, Coenzyme Q10, etc. Any suggestions would be greatly appreciated. Thanks, Patricia.

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    Answer:

     

    Dear Patricia;

     

    As a former pharmacist, I can readily understand your need to stay on your toes. You didn’t mention if your ovaries were removed 4 years ago. If so, I would check a free estradiol and free testosterone level and consider gentle supplementation with one or the other hormone. Many folks say they’ve tried everything but with all the available medications, that's literally impossible. See Migraine preventive medications: too many options to give up!. But, I’m a neuropharmacologist as well. Seeking out a headache and Migraine expert might be wise in your quest for relief.

     

    Good luck,
    John Claude Krusz and Teri Robert

     

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

    Last updated November 20, 2007.

Published On: November 20, 2007