Monday, May 28, 2012
Thursday, December 03, 2009 LadyFuzzy asks

Q: can I ask my Doctor for a stronger pain medication

Hi,I have been living with migraines since I was 15 and I am 28 now. I never thought to see a doctor for this but this Thanksgiving was the worst because by that point I had a migraine for about 2 days. My mother encouraged me to get seen since it was revealed that she suffers from them too. Anyhow, I was just prescribed Fioricet yesterday and after reading some of the withdrawal symptoms I worry about what I am getting into. I am allergic to Tylenol 3(codeine) but I can take tylenal or codeine by its self and be fine. Plus alergic to anything that alters my serotonin levels (i.e. Paxel) which most preventive migraine meds utilize. It makes my migrains worse.

 

I was wondering if anyone here knows of other meds that I can take for the pain. What are my options since I am allergic to most of the stuff that is used for treating migraines. Fioricet feels very weak to me, I still have pain but its kind of a constant "background" irritation, but at least it is some-what manageable, plus it makes me very drowsy (I absolutely hate feeling drunk or stoned) I cant afford to feel this way at work and class. I know this is very wrong but I have been in so much pain in the past that a friend was able to give me a norco and it did the trick. It worked very quickly and I had plenty of energy to get things done through out the day without feeling stoned or stupid.

 

I really worry about the withdrawal symptoms from Fioricet especially the possible seizures since I have had at least 2 in my lifetime and the Doc didn't ask me about a history of it nor did I think to share it. I dont know what my options are, and I wanted to ask if you think It would look bad if I asked my doctor for something stronger and that I have been helped in the past by my friends mom with a norco & it was the ONLY thing that ever worked. I want to be honest with her, but I dont want her to look down her nose at me. What can I do for this throbbing pain?If anyone here can help with sound advice that would be great.

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Answers (1)
Nancy Harris Bonk, Health Guide
12/ 5/09 10:23pm

Hi LadyFuzzy,

 

Ok, let me see if I have this straight. At 28, with a family history of Migraines, you recently went to the doctor because you stated - "by that point I had a migraine for about 2 days." You haven't taken anything for Migraine prevention up to this point, have throbbing head pain, have used a friends narcotics, have had possible seizures, haven't told the doctors any of this and want to ask the doctor for stronger medications? Really. It is a dangerous practice to use other people's medication.

 

There is now evidence that ANY use of opioids or barbiturates increases the risk of transformed Migraine. You can find more information about this in Transformed Migraine - Risk Increased by Some Medications.

 

Here's the thing - it is not time to worry about withdrawal but the truth. The pain medication will only mask the pain not prevent Migraines. The doctor need to hear your ENTIRE medical history. She can only treat you if she has all the information. AND if you are taking Fioricet every day, you may be creating another condition called medication overuse headache. Taking Migraine abortive meds such as the triptans or ergotamines or any kind of pain medication -- prescription or over-the-counter -- more than two or three days a week can make matters worse by causing medication overuse headache (MOH), aka rebound. See Medication Overuse Headache - When the Remedy Backfires for more information on this.

 

"I am allergic to Tylenol 3(codeine) but I can take tylenal or codeine by its self and be fine. Plus alergic to anything that alters my serotonin levels (i.e. Paxel) which most preventive migraine meds utilize. It makes my migrains worse."

 

 I really don't understand what you are talking about here. There are over 100 medications available for Migraine prevention, I certainly doubt you are allergic to every one of them. If you are talking about Migraine abortive medications like Imitrex or Zomig -that is another story. These two article may help clear things up for you:

Preventive, Abortive, and Rescue Medications - What's the Difference? and Migraine Preventive Medications - Too Many Options To Give Up!

 

Good luck

Nancy

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By LadyFuzzy— Last Modified: 11/10/10, First Published: 12/03/09