I am getting botox injections for migraines 12/09 - Pain Meds?

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    I am getting botox injections for migraines 12/09.


    This will be my first time with botox injections. I have had a lot of different kind of injections. The last one was radio frequency on my neck and that turned out to go bad. I got a staff infection that has settled in my right sternoclavicular joint.


    I am a bit anxious. I understand this botox will not give me immediate results. I am looking for more pain relief. Is there any way that I could be placed on some type pain medicine that will knock out the migraine pain and get it to where I can function? Help - please? Josee.

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    Dear Josee;


    It depends on how frequently you're having Migraines or headaches. Taking Migraine abortive meds such as the triptans or ergotamines or any kind of pain med more than two or three days a week can make matters worse by causing medication overuse headache (MOH), aka rebound. See Medication Overuse Headache - When the Remedy Backfires for more information on this.


    If you're talking about Migraines, your doctor might prescribe an abortive that you could take two or three days a week and a pain medication that you could take two or three other days a week.


    One of the biggest problems in treating frequent Migraines and headaches is that there's just nothing that can be taken every day without risking the complication of medication overuse headache.


    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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    Last updated December 12, 2008.


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Published On: December 13, 2008