Tuesday, May 29, 2012
Saturday, May 02, 2009 Kim Smith asks

Q: I've done everything I can think of but still have chronic headaches that are usually migraines

I have been suffering with migraines for years but the last year or so they have been almost on a daily basis. I have taken topamax, diamox, amitriptalene (not sure on that spelling) as preventative and have taken relpax, imitrex, zomig and now treximet. The treximet works ok because unlike imitrex I dont get sick, even thought they are suppose to be the same thing but my ins wont cover it. Cant take zomig anymore cause I am taking Cymbalta. I also take lorazapam before bed.


Ive gone to PCP numerous times, gone to Neuro with nothing more from him than my regular doc. He offered the nerve block but from what Ive read doesnt seem to be worth it. Gone to p/t several times to work on posture and neck movements. Helped the stiffness but not the migraines. Been to Pain Mgmt Specialist who wallked in, ask me nothing, based on what nurse said you arent having migraines and im gonna give you some cream to rub on the back of your head and send you to p/t. Already been there! On birth control year round as to have no periods. Also just had my eyes examined and vision changed some but have to go back due to bad allergy.


Getting botox on Monday. The only other thing I can think of is accupuncture if that doesnt work. Im tired of wasting my life laying in the bed with a headache while I have three kids that need me. Can anyone please give more suggestions on how to help pain

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Answers (1)
Teri Robert, Health Guide
5/ 3/09 4:44pm

Hi, Kim,

 

You brought up several issues here, so let's go through them...

 

Are Topamax, diamox, and amitriptyline the only preventive medications you've tried? I 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!

 

Do you not take Zomig because of taking Cymbalta because you've had a problem with the combination, or because there's a waring about combining the two? The same warning about taking Zomig with antidepressants applies to all of the tiriptans, including Imitrex. However, that warning doesnt say not to use them together. It says to excercise caution. You can read more about that in Antidepressants, Triptans, and Serotonin Syndrome.

 

Trigger identification and management is an important part of Migraine management and preventing Migraines. You may have some triggers that you can avoid, thus preventing Migraines brought on by those triggers. Do you know what any of your triggers are? When working to identify triggers one of the best tools is a good Migraine diary. You can read more about this and download a free diary workbook in our article Your Migraine and Headache Diary.

 

Pain isn't the only concern with Migraine. Anyone who has three or more Migraines a month needs to be talking with their doctor about prevention. There's growing evidence that Migraine is a progressive brain disease. A recent study showed that Migraines can cause brain damage, and that people with three or more Migraines a month are more susceptible to this damage. For more information, see Is Migraine a Progressive Brain Disease? and Yes, Migraines Can Cause Brain Damage.

 

If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.

 

Hope this helps,

Teri

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By Kim Smith— Last Modified: 09/08/10, First Published: 05/02/09