TM for over 9 months, no relief?

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  • Full Question:

    I have had TM for over 9 months with no releif is this normal?


    My neurologist has me on Topamax, nortriptyline, clonazepam, verapamil, tizanidine/Flexeril. I've even tried Imitrex. All of this for two months. I even tried steroids, and steroid blocker shots on both sides of my head. Nothing works. I have constant pain with a Migraine attack every 3 to 5 days. (No auras.) Now I've noticed that not only my eyelids are swelling, but a spot on my forehead and a spot under my right eye. Is pill popping my only alternative? Donna.




    Dear Donna,


    It can take up to three months to see results from the preventive medications you're taking. You mentioned that you've tried Imitrex. Are you taking anything for pain? If you're taking something for pain more than two or three days a week, that could be compounding the issue by causing medication overuse headache (MOH), aka rebound. If you're in a rebound cycle, preventives may not work. See Medication Overuse Headache - When the Remedy Backfires for more information on this. Studies have shown MOH to be a factor in 80% of transformed Migraine cases.

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    Sleep issues can also play a big part in transformed Migraine. How is your sleep quality, your sleep schedule? Take a look at Transformed Migraine Related to Sleep Problems. Tizanidine is often a good medication for people with sleep issues. You might want to discuss your dosage and the time you take it with your doctor.


    It can be difficult to accept taking daily medications, Donna, but the bottom line is that Migraine is a genetic neurological disease, and some Migraineurs need daily medications to control the disease and protect their health. Neurologists aren't necessarily Migraine specialists. If you don't make progress with this neurologist, consider an actual Migraine specialist. There's a link below to our directory of patient recommended specialists.


    Good luck,
    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.


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    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.


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    © Teri Robert and J.C. Krusz, 2008.

    Last updated July 6, 2008.



Published On: July 07, 2008