I have had a migraine for 18 days. Since Thursday of this week I have taken four 200 mg Imitrex prescribed by my doctor that didn't work. So I went to a rural ER and had one bag of iv fluids. They gave me four 0.5 of dilatyn, one dose of Toradol all iv and two Percocet pills. I still do not have any relief. What should I do now? Toby.
Call your doctor for assistance. When a Migraine lasts longer than 72 hours, without at least a four hour break while awake, it's time to call your doctor for help. Your doctor may be able to treat you in his or her office, or may send you back to the ER. If you're sent back to the ER, ask your doctor to call ahead, let them know you're coming, and suggest what treatment they should give you.
Often, an IV infusion of medication is the best option for refractory Migraines - Migraines that aren't responding to medication. An infusion of simple magnesium sulfate works to stop a Migraine for many people. You can find more information on this type of treatment in IV Treatment of Refractory Migraines.
Another topic to discuss with your doctor is rescue treatment that you can use with your Imitrex fails. One goal should be to keep you out of the ER. To that end, doctors need to make some kind of rescue treatment that you can use at home available to you. For more on this, see Preventive, Abortive, and Rescue Medications - What's the Difference?
John Claude Krusz and Teri Robert
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.
If you have a question, please click HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or SharePost comments. Thank you.
Please note: We cannot diagnose, suggest specific treatment, or handle emergencies via the Internet. Please do not ask us to diagnose; see your physician for diagnosis. For an overview of how we can help and questions we can and can't answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.
Published On: February 04, 2014