I have tried several of the prescription meds for migraines (I have migraine with aura, especially with visual disturbances) such as Imitrex, Maxalt, and Axert. I have 3 questions:
- I have a new neurologist who told me there are new recommendations for those who have visual aura-don’t take the prescription until the vision clears. He said that this can lead to stroke. I have never heard of this before. It poses problems for me since the aura part of my migraine is often the worst part! I have always taken the prescription as soon as my vision starts to go. I believe the meds help with the aura, but not much with the headache that follows. Maybe it would be a lot worse if I didn’t take the prescription, but they still can be bad.
- I have tried 3 meds, but now there are so many new ones. Do you know which one might work best for my type of migraine? I don't know the names of the others but haven't seen ads on tv and in Magazines.
- Have you found information on the impact the environment can have on triggering a migraine? Yesterday is a good example. I went to an appointment and the room was very cold to me, but not to anyone else, when I went in the room. Within minutes, I started loosing my vision which led to a full blown migraine. This has happened time and time again thru my life either with temperature, noise, lights, rapid movements like bending over too fast, etc.
- I don't know where your neurologist got information about not taking triptans during aura. Studies indicate that triptans work best when taken as early in a Migraine attack as possible. Some Migraineurs who take triptans during the aura, are able to actually abort the Migraine attack before the headache phase begins.
- What kind of meds? Preventive? Abortive? It's not really possible to predict which medications will work best for an individual patient. Unfortunately, it's a matter of trying them to see.
- Everything you mention --temperature, noise, lights, rapid movements like bending over too fast -- can be a Migraine trigger.
John Claude Krusz and Teri Robert
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Published On: April 09, 2007