Alternative To Nsaids


Asked by Noel

Alternative To Nsaids

I have migraines since 2007, initially thought as a result of stress at work (but now that I have quit the job, the frequency hasn't reduced much). Current frequency is, every 4th day. My current medication is 125mg of Topamax daily and 10mg of Sibelium (doesn't seem to be working). I need headache abortive medication or general pain management medication at the onset of headache and upon trying a wide variety of medications, like triptan derivatives, codeine+acetaminophen/1000mg acetaminophen/NSAIDS, only Neproxen and Ibuprofen work like charm and abort the migraine attack.

Only issue here is, I have ulcerative colitis too and these medications have started giving me gastrointestinal ulcerations and bleeding. Hence I am looking for NSAID alternative. I am strongly suspicious that my headache is somewhat related to some sort of inflammation as when I was on the course of prednisolone for ulcerative colitis, I had no migraine attack.

So folks, anyone knows any general anti-inflammatory that doesn't fall into NSAID class and is not a steroid? Thanks in advance. (P.S. - I have arrived new to the US and my insurance hasn't started yet so haven't been to the neurologist here but I welcome any recommendations for one in White Plains, NY area.)


Hi Noel,

This is really a question that needs to be discussed with your doctor because it's just not safe for anyone online to say, take this medication or that medication. There are factors to be considered in addition to possible interactions between the medication you already take (if any) -- any health issues/conditions you may have, and ALL other medications you are taking including prescription medications, over-the-counter medications, dietary supplements, etc.

I know this is not the answer you are looking for, and it may feel like you have tried everything out there for your Migraines, but that really isn't possible!

You can find a list of potential Migraine and headache preventives in Migraine preventive medications - too many options to give up!

The most important thing you can do for yourself is get an accurate diagnosis

This will simplify matters and make it easier for you to get information and treatment. Doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). You can read more about this in Ocular, Optical, and Opthalmic Migraines and The Type of Migraine Does Matter.

As far as stress being a trigger, there's still some controversy, but I hate to see anyone accept that stress is a trigger without at least trying to see if they encounter triggers during stressful times that they either don't encounter at other times or they're only triggers when the body is stressed. The International Headache Society has removed stress from their list of Migraine triggers and put it on their list of exacerbating factors -- things that make us more susceptible to our triggers. I'd have sworn stress was a trigger for me until I kept a very detailed diary for a few months. More information in Is Stress a Migraine Trigger?. I hope you'll thoroughly investigate this as I think we do ourselves a real disservice by thinking stress is a trigger for us and not looking closely for other triggers during stressful times.

Trigger identification and management is a vital component of managing Migraine disease. One of the best tools for identifying triggers is a good Migraine diary. You can download a free diary workbook from our article Your Migraine and Headache Diary. Some of us have food triggers; some of us don't. It's advisable to determine if your daughter does, and an elimination diet is the best way to do that. For more information and a workbook on this, see Managing Migraine - Migraine Trigger Foods.

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.

There is lots of information to go over here, let me know if you have questions after you read it.

Good luck


Answered by Nancy Harris Bonk