I've been a migraine sufferer for nearly twenty years. I've been told by a Neurologist that I should never take Imitrex again because it would very likely cause me to have a stroke. Imitrex is in the family of meds for migraines as a vascular constrictor. Are all of the migraine meds designed to be vascular constrictors? I've tried numerous meds for my migraines over the years with very poor results to sometimes serious reactions that have put me in the emergency room. These meds include Beta-blockers, antidepressants, Neurontin (antiseizure type meds), analgesics, anti-inflammatory (allergic reactions occurred). Is there anything else I can try? Mrs. E.
Dear Mrs. E.;
All of the agents you mention that have given you problems, or side-effects, are used for prophylaxis or suppression of migraines.
Except the analgesics. I'm not sure why your neurologist is so sure that Imitrex would cause a stroke. As a class of medications, triptans are exceedingly benign in their side effects. They actually do a whole lot more than just act as vasoconstrictors, so this way of looking at them is primitive. Then again, most neurologists don't want to see headache patients, nor are they expert in treating Migraines. My strongest suggestion is to fins a headache expert in your area.
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 for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.
Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.
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 andhealth matters, including decisions about diagnoses, medications andother treatment options, you should always consult your doctor. See full Disclaimer.
Published On: April 09, 2007