Regular IV infusions for Migraines?

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    I have a question on IV treatment for refractory migraines. I have been dealing with status migraines for at least 3 years now and have had migraines for almost 10 years. Not only are they going into status, they have been refractory. I just don't seen to respond to any meds or even get much relief. I have been hospitalized 3 times now. They only thing that I respond to are the IV meds and that’s not even until after several days of them. Once I am home, the meds get out of my system and the migraines are back in just a few days, unresponsive to any meds I can try to take.

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    I am wondering how beneficial it may be to look into regular IV infusion. Maybe if I received the IV meds on a regular basis, it may help to break up my pain some? I have had DHE, magnesium, Benadryl, Toradol, Thorazine, Ativan and several others of the IV meds. If I don't respond well to these, could I even benefit from regular infusions? If so, what kind of med options are out there, that I may be able to try or maybe respond better to?

    I am now going into day 5 of a bad migraine attack and just got out of one attack about 24 hours prior to this attack. Despite my use of abortives, (Benadryl and Toradol injections) I would like to find a way to break this headache so that it doesn't last 10+ days. I want to avoid the ER as they just don't seem understand how to treat migraines. I am on Nardil, an MAO inhibitor as a preventative, but it doesn't seem to be helping at this point. Any information you could provide would be great. Thanks so much, Alaura.


    Dear Alaura;

    The IV treatment of refractory headaches and Migraines is not a formula, but very much dependent on the patterns and comorbidities that accompany them. In some cases, regular IV infusions can be very helpful, especially of magnesium. Vitamin D levels, can also be low in pain and headache / Migraine patients. These can be measured easily.

    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.

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    Last updated December 7, 2009.

Published On: December 09, 2009