Different triptans?
Hi,
My doctor said that since Maxalt and Amerge don't work for me none of the triptans will work. That leaves me with two questions.
First, I know I've seen an explanation here of why that's wrong, but I can't find it. Could someone briefly explain it, please?
Two, would you change doctors?
Thanks!
Mags
Mags,
Your doctor is mistaken. Sorry.
Let me take a crack at the brief explanation you need. Triptans are selective serotonin receptor agonist, "selective" being the key word here. Each of the six triptans binds to a different combination of serotonin receptors. Thus, we react differently to them. It's not common, but possible, to try all six and find only one that works for you.
Would I change doctors? Maybe. It depends on a few things:
• If you tell him he's mistaken about the triptans, will he learn?
• Is this the first problem you've had?
• Are you making progress in your treatment with him?
Tell you what. We have a quiz that may help you -- Is Your Doctor Right for You?
If you decide to change doctors, , 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 is what you needed!
Teri
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