Monday, May 28, 2012
Thursday, May 28, 2009 Linnae asks

Q: I have tried triptans for my migraines with no success what other options do I have?

I've suffered from chronic daily migraines for about 3 years now. I have tried every combination of medications for migraines along with triptans and none of it has helped me. My doctor has put me on percocet because that is the only thing that helps. Are there other medications that might work? I can't take NSAIDS because of the way it effects my stomach and kidneys. I also can't take any kind of anti-siezure medication.

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Teri Robert, Health Guide
6/ 2/09 6:31am

Linnae,

 

Bless your heart! I hate to tell you this, but the Percocet your doctor gave you is highly likely to make your situation worse if you take it more than two or three days a week. Taking Migraine abortive meds such as the triptans or ergotamines or any kind of pain medication -- prescription or over-the-counter (this includes Percocet) -- 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 know how easy it is to feel as if you've tried everything out there -- been there, done that, burned the tee shirt! --  but there are so many medications that can be used for Migraine and headache prevention that it's literally impossible. There are many, many medications other than the antiseizure medications that can help with prevention, so don't give up hope! You can find a list of potential Migraine and headache preventives in Migraine preventive medications - too many options to give up!

 

Have you tried all seven of the triptans -- Imitrex, Maxalt, Zomig, Amerge, Relpax, Axert, and Frova? They all bind to different combinations of serotonin receptors, so it really is worthwhile to try them all. In addition to the triptans, what about ergotamines such as DHE or Migranal Nasal Spray? There's also Midrin.

 

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 Linnae— Last Modified: 11/13/10, First Published: 05/28/09