12/10/07 #8 - Triptans for basilar-type Migraine?

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  • Full Question:
    What is your feeling about the use of triptans for basilar migraines which are not well controlled, despite high doses of meds. I've only been told of contraindications, but a new doctor feels the risk is so small that they might be worth trying, since my basilar attacks last several days at a time. Chicago.
     

     

     

    Answer:

     

    Dear Chicago;

     

    I know that basilar migraines are both over and under-diagnosed. One publication specifically looked at basilar type migraines and treated them successfully and safely with triptans; this is not to say that we should endorse this type of approach. The common wisdom is to find another category of medication; you have some great headache specialists in Chicago. There's a link to our specialists directory below.

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    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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    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.

    Last updated December 10, 2007.

Published On: December 10, 2007