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Topic: prescription migraine meds?  (Read 2572 times)

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prescription migraine meds?
« on: September 20, 2004, 06:35:41 PM »
I've suffered from migraines since my late teens and though their patterns have shifted over the years the triggers (hormones, flourescent light, chemical smells) haven't. Over the last few months though, I've been getting them 2 days in a row and they are not responding well to the things that have always worked in the past - ibuprofen, Excedrin Migraine, or, at worst, paracetamol with codeine. I'm also worried they'll get worse when I start working.

So, I've got an appt with the doc on Wed to see about prescription meds. Anyone have any experience with any of them? I'm particularly worried about side effects.
When I was 5 years old, my mother always told me that happiness was the key to life. When I went to school, they asked me what I wanted to be when I grew up. I wrote down ‘happy’. They told me I didn’t understand the assignment, and I told them they didn’t understand life. ~ John Lennon


Re: prescription migraine meds?
« Reply #1 on: September 20, 2004, 07:03:31 PM »
My thirteen year old is on Beta blockers for migraines.  They have certainly cut down on the severity and frequency of the migraines-which were happening about once a fortnight and lasting up to four days.  ::)  The over the counter meds that work best for her is actually feminax.  The betablockers have the added bonus of helping her with her shyness.   


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Re: prescription migraine meds?
« Reply #2 on: September 23, 2004, 05:55:11 AM »
Balmer,

I recently skimmed through an article in the Times that said taking too many painkillers for headaches can actually backfire if you take them long enough (make headaches worse). But I don't remember if that applied to all types of headaches (such as migraines) or just run-of-the-mill headaches (if there's such a thing). But if what you're taking now isn't helping, you might want to bring that up with your GP. Also, a friend of mine who had migraines did all the things people with migraines are told to do, which I assume you're doing, and said it helped a lot (but sucked). She quit smoking, didn't drink anything with caffeine in it, didn't drink alcoholic beverages, etc. I've also read, with pain in general, and with migraines in particular, that self-hypnosis can help reduce the pain. But you need to be able to block everything else out of your mind for that (I couldn't do that, but a lot of people can). Anyway, I wish you the best.

Suzanne

One more thing: you might try writing Susan Clark. She has a regular Q&A column in the Sunday Times Style magazine titled "What's the Alternative?" She's by the book into homeopathic treatments. I can't vouch for her because she couldn't help with my disease (like most, she'd never heard of it), but I'm sure she'd have recommendations for migraines. Check out www.whatreallyworks.co.uk. Better yet, write her and tell her specifically about all the meds you've tried, how they don't help anymore, if ever, etc., and maybe she could recommend something. Hope that helps.


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Re: prescription migraine meds?
« Reply #3 on: September 23, 2004, 06:11:47 AM »
Balmer,

I cut-and-pasted this article from the website I mentioned in the previous post. It's a start, anyway.... (Mindy, it might also help with your daughter.) It's not just about chocolate--when you scroll down, you'll see there are different recommendations for different types of migraines.
 

Migraines


Migraine sufferers may think they have little to celebrate, but for those who cannot resist indulging in chocolate comes some excellent news - according to new research by scientists at the University of Pittsburgh, and contrary to popular belief, chocolate does not play a significant role in triggering typical migraine-type headaches.

For years chocolate has topped the list of the common food triggers believed to cause this condition that affects an estimated 5 million Britons. So the research, carried out by the University’s Pain Evaluation and Treatment Institute, turns conventional wisdom on its head.

In the study, 63 women, (all suffering from chronic headaches, and 50% suffering from migraines), first spent two weeks following diets that restricted their intake of amine; the substance found in chocolate and other foods, including dates, citrus fruits, yeast, nuts, dairy products and red wine, which is believed to cause headaches. Each participant then underwent double-blind clinical trials in which they were given two samples of chocolate and two of carob in random order. They all kept diaries monitoring diet and headaches, and the researchers concluded that despite the women’s own beliefs about chocolate causing headaches, it was no more of a culprit than carob.

Nutritionists claim that food triggers are responsible for up to 90% of migraine cases, but even they accept it is difficult for a sufferer to identify which foods they are reacting to. One woman, for example, discovered that her headaches were triggered by cinnamon - which is unlikely to be on the list of foods your doctor suggests for you to avoid. Elimination and rotation diets can help pinpoint more obvious culprits, but the entire task is also made more problematic by the fact it can take someone more than a week to react to a particular food you may have eaten.

No two migraines are the same according to Penny Povey, a medical herbalist who practices at Farmacia in London. She treats women who suffer migraines caused by hormonal disturbances around the time of menstruation; and are so severe that they spend three days in bed vomiting; and migraines which more closely resemble cluster-type headaches in men. Many sufferers will recognise her description of flashing lights, and the desperate need to retreat to somewhere quiet and dark - while others know their headache is definitely the result of a food allergy.

Homeopathy, which has proven highly effective for many sufferers, keys in to these differences and makes a point of prescribing remedies according to not only the type of pain but also how it starts. If the headache is worse on the right side, for example, and if trying to concentrate makes the pain worse, your homeopath is likely to suggest Lycopodium 6c (this figure denotes the strength or potency of the dilution.) Blurring of the vision and vomiting would suggest Iris 6c, while a throbbing, blinding headache with a feeling of congestion in the head would probably be best treated by Natrum mur. 6c.

Whatever the type of pain, the herb feverfew has an excellent track record in helping to keep migraines at bay when taken daily. It can take up to a month to kick in - so you need to persevere and take 50 drops of a tincture with your breakfast each morning, says Povey. Penny Povey has now formulated a new migraine remedy that also includes the mild sedative, valerian, for those who sense the onset of a migraine headache.

In another American study by scientists at the University of Cincinnati College of Medicine, taking fish oil capsules daily was also shown to not only halve the number of migraine attacks, but also reduce the pain and severity of those that did occur. In the trial, 60% of subjects benefitted from the supplement, which reduced the number of attacks from two a week to two a fortnight. Men reported more relief than women, and if you are going to investigate this nutritional approach, take fish oils made from an unpolluted source.

Many sufferers have been found to be deficient in magnesium. However, Gareth Zeal, nutritional advisor to the GNC retail chain, says you need to take a pretty hefty dose - 2x500mg tablets daily -to benefit. Vitamin B2 has also been shown to help reduce the number of attacks; as the B vitamins work best when taken together, take a B complex supplement which provides the equivalent of 400mg of B2 daily.

Clinical trials of a little known herb called Butterbur (Petasites hybridus), show how migraine sufferers who took 50mg of standardised extract of this herb twice daily reduced the number of migraine days by 62% over a six month period. This herb was traditionally used by the ancient Greeks as a muscle relaxant and anti-inflammatory, pain-killing agent. A standardised extract guarantees a minimum dose of the active ingredients; for the same results, you need the same dosage.

The immediate cause of a migraine headache is constriction and then swelling of the arteries that supply the brain. Why this should suddenly happen between the ages of 10 and 30, and why these headaches are three times more common in women than men is anybody’s guess - although abnormally low levels of the neurotransmitter serotonin have been identified in sufferers. There is strong evidence of a genetic risk - if one parent is a sufferer then a child has a 40% chance of getting migraines too - but they can also disappear, as suddenly as they started, in middle age; which for those who are still suffering is one good reason to look forward to celebrating your half century.

What to take for migraines:

*Homeopathy gets excellent results with migraines. To find a medically-qualified practitioner contact The British Homeopathic Association on 08704-443950. The Society of Homeopaths keeps a register of non-medically qualified practitioners. Call 01604-817890 to find one in your area.

*Migravoid provides 50mg of Butterbur per capsule, and costs £19.95 for 60 tablets. Mail order from Victoria Health on 0800-413596.

*Farmacia’s Migraine Mix is a combination herbal tincture which also contains chamomile. It costs £8 for 100ml. Take 100 drops, three times a day, when you have a headache. Feverfew tincture costs £6 for 100ml. To mail order call 020-7831 0830 and add £1.50 p&p.

*Higher Nature makes fish oil capsules from an unpolluted source. 90 x 500mg capsules cost £4.70. Call 01435-882880 for mail order - p&p is free. Take two a day.

WARNING: Do not take Feverfew if you are already taking Warfarin, or during pregnancy.


 

 
 


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Re: prescription migraine meds?
« Reply #4 on: September 23, 2004, 09:46:11 AM »
Thanks Suzanne! I've done all ther food trigger tests and am pleased to report that the usual suspects are not what cause my headaches. Bring on the chocoalte! Despite that, I am mostly caffeine free because I get heart palpitations if I have too much.

My GP has given me Almogran which is in the triptan family. We'll see how it works. I can't afford a homeopath now (and didn't have much luck with one with another medical problem) but might try feverfew as I have heard good things about that.

I'm a little dismayed by the Almogran though. There's only one warning on it that was actually placed there by the pharmacist (can make you drowsy). There is no accompanying info sheet that you usually get with prescription meds!

Isn't that weird?
When I was 5 years old, my mother always told me that happiness was the key to life. When I went to school, they asked me what I wanted to be when I grew up. I wrote down ‘happy’. They told me I didn’t understand the assignment, and I told them they didn’t understand life. ~ John Lennon


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Re: prescription migraine meds?
« Reply #5 on: September 23, 2004, 11:13:41 AM »
That is weird,,it should have an insert with a list of contrantictions and cautions. Perhaps ask the chemist when you get a chance about it?


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Re: prescription migraine meds?
« Reply #6 on: September 24, 2004, 12:34:06 AM »
As odd as it sounds, maybe talk to a "naturalist" about breathing excersizes or yogo/stretching stuff of some type.  My best gal-pal had killer migranes all her life, and found that these things really help her.  She doesn't do the breathing all the time, and says that she can tell teh difference.  She's meant to do it before bed, and a couple of times throughout the day (mini-meditation of sorts).  Maybe part of it is psyco-sematic, but hey--if it works, it works!! 

Good luck to you, which ever way you decide to go.


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Re: prescription migraine meds?
« Reply #7 on: November 22, 2004, 02:04:17 PM »
Balmerhon,

I have suffered from killer headachers/potential migraines since my teens (interestingly since I started taking the pill).   Things got much worse for me when I lived in the U.S and discovered Excedrin Migraine, I was popping those things like sweeties, but they worked almost instantly- providing relief for several hours rather than 1 hour- I had no medical insurance the first time, so I had no chance to be referred to a specialist.  When I returned home, I had two incidents of passing out in the street - just walking along and boom, on the deck and it terrified me. My GP checked my eyes and thought she noted some swelling back there and referred me to a Neurologist- turns out I had major swelling of the optic nerves (papilloedema), haeomorrhages and a lot of pressure there, so they did a spinal tap and my pressure was apparently off the scale.

The first thing I was told is that Excedrin Migraine and similar analgesics ( and anything containing codeine was off limits), actually make things much worse and I should stop them immediately ( this was incredibly hard, I had just had 200 of them shipped over!) and after MRI I was diagnosed with something called Benign Intra Cranial Hypertension ( now known as Idiopathic as there is nothing benign about it), put on strong anti-inflammatory meds and the equivalent of a strong diuretic to level out the fluid ( simply put, my body over produces cerebro-spinal fluid and it presses on my spinal cord/head) hence killer headaches, like nothing I can even describe - although as a severe migraine sufferer you will know where I am coming from.

The other thing to cut out is any fizzy drinks like diet coke etc, or items that are sweetened chemically with aspartame) that is harder than it sounds, it's in so much, but it really does help and it was something I just didn't consider at the time. 

The above information from Suzanne is correct and I can also recommend that site- you can also sign up for  useful newsletter too.  There is a migraine association in the UK (can't remember it off hand, but some googling will find it) and I believe there is a pain association as well that might be able to help.

I really do sympathise with you and you are going to have to be extra pushy and assertive with your GP etc to get the attention you need.

When you start work, make sure that you are honest in your medical info and disclose the migraines- this is really important ( as I have since found out!) your employers have a duty to make adjustments that are reasonable if you are suffering and in the event of extended time off for this condition you will be covered as it will have been disclosed (my own employers have been very unhelpful whilst I have fought my own problems and sent me down the route of occupational health etc, but I am actually covered under the disability discrimination act and so on and there is not a lot they can do without at least being seen to be supporting me.

Oh and I made sure we have the least damaging bulbs in the lights at work ( I also have a screen around me so that I can be in a much " darker" place to work) which does help.

Sorry thats a mish mash of info and wont really help a lot.........good luck and I hope they improve for you

Sheril
Born to shop..............forced to work


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