I see you've made it over to the forum, great! I'm sorry you are suffering so right now. By chance do you take anything else to relieve your pain? If I can just touch on medicaton overuse headache for a minute. Here's something else that I don't know if his doctors have mentioned. If we take Migraine abortive meds such as triptans or any kind of pain med more than two days a week, a big part of the problem may well be medication overuse headache (MOH), aka rebound. See Medication Overuse Headache - When the Remedy Backfires for more information on this.
Here's the problem -- It's not just that we need to limit the use of our abortives to three days a week to avoid medication overuse headache (rebound), but that we need to limit the use of ANY acute medications to two or three days a week to avoid a medication overuse situation.
This is one of the most difficult questions and difficult situations facing Migraineurs. To stop medication overuse headache (MOH), aka rebound, we have to stop taking the medication(s) causing it. Unfortunately, we can't substitute other medications to do that because MOH can be caused by pretty much anything we take to treat a Migraine, AND it can be caused by taking different types of medications too frequently. So, that means that even alternating types of medication can result in MOH if we treat Migraines more than two or three days a week.
If you are in an moh situation, until you have cleared all the offending medicatons out of your system, your preventive mediation, Zonegran, won't beneficial. How long have you taken Zonegran? Sometimes our doctors may forget to tell us an important tidbit: It can take up to three months before we see a reduction in our Migraine frequency and severity. If we don't give each medication a fair trial, we'll never know if that was the medication to really help.
I also know how easy it is to feel as if you've tried everything out there, but there are so many medications that can be used for Migraine and headache prevention that it's literally impossible. You can find a list of potential Migraine and headache preventives in Migraine preventive medications - too many options to give up!
Tramadol aka Ultram, is a opioid pain releiver. For some people it is used as a rescue medication in a Migraine management plan but does have potential problems just like the other opioids do. You can continue reading more about that in the article, Opioids for Migraines - Why Not?
NDPH is one of the more difficult primary headache disorders to treat. Have you had a spinal tap to rule out other conditions? Tricyclic antidepressants, like Amitriptyline, are often used for NDPH. Antiseizure medications like Topamax, Gabapentin (neurontin) and Depakote are used for NDPH.
Let me knowwhat you think and how you're doing, OK?
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