04/23/07 #4 - Postmenopausal Migraines, nothing works?

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  • Full Question:
    I am a post menopausal 65 year old woman.  (I have had migraines since I was 17 years old.) (I am not a hypochondriac.)  I am giving you a brief history since it may help someone else.

    I had a hysterectomy 1n 1980 (where the doctor left a small piece of ovary for estrogen), however, the piece of ovary turned into malignant cancer in 1984.  I went to six doctors and no one found the cancer until an intern found it.  (The estrogen level went "sky-high.")

    Now I am still having migraines on the average of 6 - 8 per month. I am taking Relpax - 40 mg at the onset.  (There are only 6 tablets per box!)
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    Over the years, I have tried every kind of meds and shots. Nothing worked!  (I am concerned about strokes, heart attacks, or TIAs.)

    Please help! Sincerely, Mrs. J. Johnson.

    Answer:

    Dear Mrs. J. Johnson;
    It was recently published that Migraines with aura can have some excess cardiovascular risks in women. I don't know if you have Migraines with aura or not but apparently without the aura there is no cardiovascular risk, as far as we know from population studies. If you have so much as one disabling headache per week, it may be worth treating with a suppressive medication (called prophylaxis therapy). If the Relpax continues to work, then it can be used for the acute migraine assuming no cardiovascular contraindications. Check this out with your physician or, better yet, seek a headache specialist.

    Good luck,
    John Claude Krusz and Teri Robert


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    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 22, 2007