Top 75 Migraine and Headache Questions, #36

Ask the Clinician Health Pro
  • Full Question:
    Can you tell me why Doctors do not want to use Demerol to get rid of migraines? I used to go to Urgent Care for a shot when it is really bad. My Doctor had instructions on file. Now I give myself shots at home, Dilaudid. This works, but not as good as Demerol. Nancy.


    Dear Nancy;

    Most physicians are afraid of opiates. Having said that, I don't consider them first-choice agents for migraines or headaches. In fact I have 13-14 agents that we use in the clinic IV for treating refractory, unstoppable headaches and none of them are opiates! Demerol is actually especially fraught with causing rebound headaches so it is not a particularly good choice. Plus, it can affect the heart.

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    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. 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.

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Published On: April 09, 2007