05/28/07 #9 - Difference in triptans for Migraine symptom relief?

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  • Full Question:
    I am on prophylactic meds for migraines, but also take triptans during acute migraine attacks during the menses. Is it just my impression that some of them treat the concomitant nausea/dizziness better than others? So far, Maxalt seems (for me) to work faster, more effectively, and offers better relief from nausea/dizziness than Imitrex, Frova, or Axert. Have clinical trials shown any differences among the triptans in these dimensions? Also, are any of them proven to be better for migraines that one "wakes up with," which for me, are more stubborn to treat? Thank you. Clemmie.


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    Dear Clemmie;

    While all the triptans are able to relieve the migraine as well as the other accompanying symptoms, some will be more able to do so for one person versus another. There's no magic formula for which agent will do the best job. Fortunately, we have 7 agents in this group to pick from at this time. If one agent is best for you stick with it.

    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: May 28, 2007