I have suffered from migraines since my early teen years (about 2 a year). I am now 35 and pregnant with our 3rd child. I have suffered greatly during my pregnancies, especially with my girl. I had about 15 migraines during that pregnancy and have had about 2 a month since giving birth to her. I had to take hydrocodone and Demerol during my first 2 pregnancies. While we were not expecting this pregnancy we are excited. I am however very nervous about suffering through another pregnancy and wishing I didn’t have to take medications during it. I worry with each pregnancy that it will not be safe for the baby. I am about 7 weeks and have already suffered from 2 migraines. One I took Imitrex and Relpax not knowing I was pregnant and the second I took Demerol. I should also tell you that my migraines are caused by hormones, weather and stress.
My questions are:
- Is there any other drug that can be used during pregnancy either to prevent or help with pain that will also enable me to keep up with the 2 kids I have (16 months & 3 yr)?
- How do you feel about the safety of Demerol and hydrocodone during pregnancy?
- Can you shed any light about why my migraines have gotten worse after having children.
I feel for your quandary. And, congratulations!
First of all, no one HAS to take opiates as primary treatment for migraines. 2 per month can easily be treated with IV magnesium sulfate or other benign items like metochlopramide if there is a lot of nausea. If the Relpax works, then you should discuss this with your obstetrician, as this is a Category C medication. I have prescribed triptans successfully during pregnancy. Its up to your doc. Also, a consult with a headache expert might be very useful.
John Claude Krusz and Teri Robert
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Published On: April 08, 2007