Top 75 Migraine and Headache Questions, #26

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  • Full Question:
    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:
    1. 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.
    2. 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.
    3. 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.
    Thanks for your help, Linda.
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    Answer:

    Dear Linda;


    1. 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.
    2. 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.
    3. Everything you mention --temperature, noise, lights, rapid movements like bending over too fast -- can be a Migraine trigger.

    Good luck,
    John Claude Krusz and Teri Robert



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Published On: April 09, 2007