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Posted: 10/25/2014 9:25:05 PM EDT
I usually only get one or two a year.  Well I've had my pair in the last month.  Most recently, it was this week.  I spent the day hugging a toilet bowl and dry heaving stomach acid just to get the boat to stop rocking.  Then when trying to sleep I woke up several times to piercing pain in my skull that felt like someone stabbed me with an ice pick.  Problem is, I had taken two doses of my Imitrex and naproxin and that did nothing.

Normally when they are that bad I head to the ER and they give me a shot of Toradol and I'm good to go, takes it away within 10-15min.  Well I didn't make it to the ER this past week.  However, I did schedule an appt. with my dr. to talk about doing something different since the Imitrex isn't working.  

Tonight I spoke with the pharmacist who said they don't really give vials of Toradol to pharmacies since there are so many side effects.  She also said that Imitrex is pretty strong and what is usually done is switching to a completely different type of drug.  She mentioned something with a "max" in the name.

But I'm curious what the rest of you take?  

Thanks

-Emt1581
Link Posted: 10/25/2014 9:44:22 PM EDT
[#1]
Alcohol. It cures everything.
Link Posted: 10/25/2014 10:01:58 PM EDT
[#2]
A couple of Women have told me divorce is the cure.
Link Posted: 10/25/2014 10:06:41 PM EDT
[#3]
No shit, Midol. Shit just flat works like no other on a migraine
Link Posted: 10/25/2014 10:08:54 PM EDT
[#4]
I have never had one, in fact i have actually never had a headache. I know this is no help
Link Posted: 10/25/2014 10:09:51 PM EDT
[#5]
Imitrex

Relpax
Link Posted: 10/25/2014 10:11:09 PM EDT
[#6]
Wife takes max alt for hers. I take imitrex for mine.
Link Posted: 10/25/2014 10:12:12 PM EDT
[#7]
Aleve
Link Posted: 10/25/2014 10:12:24 PM EDT
[#8]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I have never had one, in fact i have actually never had a headache. I know this is no help
View Quote

I don't get head aches either, I give them.
Link Posted: 10/25/2014 10:12:49 PM EDT
[#9]
Ex wife used to take Maxalt.  Now I think she takes Imitrex.

Posted Via AR15.Com Mobile
Link Posted: 10/25/2014 10:15:05 PM EDT
[#10]
I only get them once in a blue moon, but when I do, I take BC powders every three or so hours - and drink lots of coffee - until it's gone.  Note it is possible to take too much aspirin, since it thins blood, but I've never had to take more than three BC powders in one day, with four or five cups of coffee, to get rid of one.
Link Posted: 10/25/2014 10:16:10 PM EDT
[#11]
Fioricet for a mild one.
Link Posted: 10/25/2014 10:16:16 PM EDT
[#12]
Have you tried the injectable imitrex?  My wife was having issues with the pills but the injectable (the one she uses goes by sumavel dose pro, it's a needle less system too) seems to work a lot better for her.
Link Posted: 10/25/2014 10:16:33 PM EDT
[#13]
Imitrex works for me if I catch it at the onset.
If I am out of it, or at work during the onset, I go to the ER for a shot of Toradol.
I hate the Toradol treatment because I feel exhausted the next day, like I got pulled through a knot hole.
Link Posted: 10/25/2014 10:19:13 PM EDT
[#14]
Maxalt, dude. there's no substitute and will knock anything out within the hour or less.
Link Posted: 10/25/2014 10:19:15 PM EDT
[#15]
Knowing your triggers will help you more than most meds, in my experience.  Pay very close attention to what you did leading up to your next migraine and try to pinpoint what pushed you over the edge.

Best thing you can do is to keep your sleeping and eating habits running like clockwork.  Look into melatonin as a supplement to keep your sleep on schedule (melatonin was a game changer for me...YMMV).

The other thing that you can do is to learn to recognize the onset of a migraine.  Imitrex / sumatriptan is some nasty stuff, but seems to work best if you use it before things get too bad.  Wait until you're puking or blind in one eye, and it's useless.  Caffeine can also be your best friend during the onset window, but be careful with caffeine.  Caffeine can be a double edged sword: hitting the caffeine hard during the onset of a migraine can mitigate its effects, but can also be a trigger by itself.



Link Posted: 10/25/2014 10:19:32 PM EDT
[#16]
They always started with horrible tunnel vision, nasuea, and nubmness on one side of the body. Left school the second I started seeing things closing in. Ice cubes in the eye sockets, sleep for about 16 hours, wake up, throw up, back to sleep. Pretty much useless for 2 solid days. They thought i had a possible brain tumor till i got a CT scan. Turned up nothing and i eventually just outgrew them. Thank god.
Link Posted: 10/25/2014 10:21:38 PM EDT
[#17]
My order of operations is: naproxen, caffeine, ibuprofen, hydrocodone.

I rarely get to that last step, but I've got a bottle of 5/300 hydrocodone in the medicine cabinet that I keep for that purpose. 15 tablets lasts me for about a year. It wasn't easy to get my new doc to prescribe them when I moved, but I had dental work done around the same time. After a year of bringing the same bottle in and giving him updates on how may I'd taken, apparently he believes me and I'm now good to go.
Link Posted: 10/25/2014 10:21:38 PM EDT
[#18]
I take a a few AC&C   works great most of the time.   (ASA - caffeine - codeine)  


I get mine in The mother country Canada.
Link Posted: 10/25/2014 10:22:38 PM EDT
[#19]
Have you tried Excedrin migraine?  I'm glad you're going to the doctor.  You might write down what foods you eat for a while and see if there is any correlation there as well.
Link Posted: 10/25/2014 10:25:30 PM EDT
[#20]
Ask your Dr to prescribe Maxalt.  It works for me like nothing else has.  I also take Depakote daily.  This is an epilepsy driug, one of many that I've tried.  Im having limited success with it.  I have headaches nearly every day, sometimes they last for weeks.  I swear to god I've had them last for several months at a time before.  Last year I had one that lasted from Nov 3 to the middle of Jan.  I see a neuroligts every other month but nothing seems to help.    Ive taken so many pain meds over the last 40 years my liver is going to have problems eventually so they check it every six months.  One of these days, its going to hurt so bad Im going to eat a magnum, im sure of it.
Link Posted: 10/25/2014 10:27:18 PM EDT
[#21]
Naproxin and no doze,  Granted I get fairly mild ones.
Link Posted: 10/25/2014 10:29:28 PM EDT
[#22]

Imitrex is like magic for me, but only if I take it early-- as soon as I realize there's a migraine coming. If I fight it and wait a day or two the imitrex doesn't work nearly as well.
Link Posted: 10/25/2014 10:35:48 PM EDT
[#23]
Maxalt, then 4 excedrine migraine chased with 20oz of Red Bull. If that doesn't knock it down isnide of 2 hours, I reach for 2 Vicodin and 30mg of time release morphine.
Link Posted: 10/25/2014 10:43:07 PM EDT
[#24]
Meth
Link Posted: 10/25/2014 10:43:19 PM EDT
[#25]
Goody's orange powders. (I get bad headaches, but not really migraine-isn). http://www.walgreens.com/store/c/goody's-headache-powder-orange/ID=prod6173887-product
Link Posted: 10/25/2014 10:46:09 PM EDT
[#26]
Two excederin migraine usually work "IF" I catch it in time. If not, I'm screwed.
Link Posted: 10/25/2014 10:46:37 PM EDT
[#27]
Imitrex works for a lot of people (and it's generic and cheap). But there are 6-7 other drugs in the Triptan family. Often, if one doesn't work, another one might. It's worth trying. Maxalt (Rizatriptan) is now generic. Relpax has great results, but is still brand name and expensive.















Phenergan (promethazine), Compazine (prochlorperazine) or Reglan (metoclopramide) all work well for nausea, but are quite sedating. Zofran (ondansetron) works well and is much less sleepy.
















Toradol and Phenergan shots are the cocktail of choice in the ER and urgent care, but you have to have a driver. Most physicians wouldn't order injectable Toradol for at home use. However, there is a spray form of Toradol, called Sprix. It's a nasal spray that rapidly absorbs and is supposed to be as effective as Toradol. It's about $100/shot, so it's not cheap, but might be less than going to the ER.










As others have mentioned, Imitrex (and its friends) are most effective if taken as soon as you feel or think a migraine is coming. Don't wait to see if it's bad. Take it quickly and you might cut it off at the knees.










Now, this is just general medical information. I'm not your doctor. Only you and your doctor can work out the best choice for you. Don't rely solely on information gained from some internet gun board (even if some of us actually are doctors ;-)

 
 
 
 
Link Posted: 10/25/2014 10:52:49 PM EDT
[#28]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Knowing your triggers will help you more than most meds, in my experience.  Pay very close attention to what you did leading up to your next migraine and try to pinpoint what pushed you over the edge.

Best thing you can do is to keep your sleeping and eating habits running like clockwork.  Look into melatonin as a supplement to keep your sleep on schedule (melatonin was a game changer for me...YMMV).

The other thing that you can do is to learn to recognize the onset of a migraine.  Imitrex / sumatriptan is some nasty stuff, but seems to work best if you use it before things get too bad.  Wait until you're puking or blind in one eye, and it's useless.  Caffeine can also be your best friend during the onset window, but be careful with caffeine.  Caffeine can be a double edged sword: hitting the caffeine hard during the onset of a migraine can mitigate its effects, but can also be a trigger by itself.

View Quote


Stress is my trigger.  And last week I had more than I had in a LONG time.  I basically received a credible tip that my job was getting turned upside down and it seriously freaked me out.  So after a day of panicking, I woke up the next morning with a migraine.  

That being said, there's not much I can do there.  Other than my family, I take my job VERY seriously as it allows me to support my family.  My feathers don't get ruffled often where that's concerned.  This is actually the first time it's happened.  

As for recognizing the onset, unfortunately I wake up with them.  If I wake up and it's starting out as an ocular, I usually shoot a dose in.  But it was already an ocular with localized pain in my skull...so that's probably why the Imitrex didn't work.  I need something that will absolutely work next time.  That was some of the worst pain I've felt since I started having them back in undergrad.  

Thanks

-Emt1581
Link Posted: 10/25/2014 10:54:07 PM EDT
[#29]
A sumatriptan (Imitrex) AND naproxen (Aleve, Anaprox, Naprosyn) mix is probably the best you can do. Also, find out what triggers them. Alcohol, exhaustion, bright lights, high blood pressure, etc. I lowered my BP and have not had one since.
Link Posted: 10/25/2014 10:54:12 PM EDT
[#30]
Link Posted: 10/25/2014 10:58:32 PM EDT
[#31]
Discussion ForumsJump to Quoted PostQuote History
unfortunately I wake up with them.
View Quote


You have allergies? High BP while sleeping from snoring or something?
Link Posted: 10/25/2014 11:01:59 PM EDT
[#32]
midrin and darovocet used to have one every day for 7 years. 2 midrine and 2 darovocet then one midrine an hour later. would be gone in about 3 hours....not a fun part of my life/
Link Posted: 10/25/2014 11:02:04 PM EDT
[#33]
Every one who suffers migranes gets them different in varying ways. I use to get them bad when I was younger, always started with halos, nausia and when the halos went away a pounding headache.

Now when I get them, they still start with halos but no nausia. As soon as I notice my vision getting a spot in it I take 1000mg ibuprofin with a poweraide and once the halo expands beyond my vision I am generally ok. No bad headaches but only slight discomfort.

I am prescribed sumatriptan and when I took it when getting one it seemed to lessen the effects somewhat but made them last longer and I felt like shit all day. I dont take it any more.

Posted Via AR15.Com Mobile
Link Posted: 10/25/2014 11:02:32 PM EDT
[#34]
You mentioned that Imitrex isn't working for you.. Are you taking that in pill form or injection? I have had pretty serious cluster headaches for going on 5 years now and I have tried just about everything.  Zomig, Maxalt, and Imitrex all in pill form gave me no relief. I switched to Imitrex injection and it works great. Expensive, but worth it. Good luck
Link Posted: 10/25/2014 11:02:47 PM EDT
[#35]
Migraine sufferers should be taking Magnesium w/Calcium supplements daily. For a 185 lb. man, take about 400-500 mg of Magnesium. I know 2 migraine sufferers (in the family) and taking these daily (usually come in 1 pill) has knocked their migraine occurrences down by 70%
Link Posted: 10/25/2014 11:04:13 PM EDT
[#36]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
You mentioned that Imitrex isn't working for you.. Are you taking that in pill form or injection? I have had pretty serious cluster headaches for going on 5 years now and I have tried just about everything.  Zomig, Maxalt, and Imitrex all in pill form gave me no relief. I switched to Imitrex injection and it works great. Expensive, but worth it. Good luck
View Quote


Nasal injector.  Shoot it, lay down for 30-60mins. used to be all I needed to be good to go.  

-Emt1581
Link Posted: 10/25/2014 11:08:33 PM EDT
[#37]
Vicodin. Lots of Vicodin!!

Wait they just rescheduled that out of average guy reach, so uhhh?

Heroin lots of heroin!!
Link Posted: 10/25/2014 11:12:36 PM EDT
[#38]
Ibuprofen and caffeine.  I start with 4 advill followed by 4 more in an hour.  Wash them down with a coke.

Having suffered from migraines since I was a child, and having gone to many specialists, tried a multitude of drugs including almost every drug mentioned here, this works the best for me.
Link Posted: 10/25/2014 11:14:00 PM EDT
[#39]
Make sure you aren't getting dehydrated.    I take a bunch of Advil and water, and I have found that if I can get up and move around, they will go away.

I've only gotten them a few times and it was in response to a food allergy.    red wine, MM's, MSG.  None were quite as severe as you describe.
Link Posted: 10/25/2014 11:16:40 PM EDT
[#40]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


Nasal injector.  Shoot it, lay down for 30-60mins. used to be all I needed to be good to go.  

-Emt1581
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
You mentioned that Imitrex isn't working for you.. Are you taking that in pill form or injection? I have had pretty serious cluster headaches for going on 5 years now and I have tried just about everything.  Zomig, Maxalt, and Imitrex all in pill form gave me no relief. I switched to Imitrex injection and it works great. Expensive, but worth it. Good luck


Nasal injector.  Shoot it, lay down for 30-60mins. used to be all I needed to be good to go.  

-Emt1581


See if you can get a Sumavel Dosepro (sumatriptan injection) sample or something similar from your neurologist or doctor at your next visit. I've tried all sorts of nasal sprays and pills and nothing gave me any relief at all until I tried the injection into my thigh. I'm usually good to go in 5-10 minutes, whereas before I would be in a world of pain for 2-3 hours.
Link Posted: 10/25/2014 11:19:10 PM EDT
[#41]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


See if you can get a Sumavel Dosepro (sumatriptan injection) sample or something similar from your neurologist or doctor at your next visit. I've tried all sorts of nasal sprays and pills and nothing gave me any relief at all until I tried the injection into my thigh. I'm usually good to go in 5-10 minutes, whereas before I would be in a world of pain for 2-3 hours.
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Quoted:
You mentioned that Imitrex isn't working for you.. Are you taking that in pill form or injection? I have had pretty serious cluster headaches for going on 5 years now and I have tried just about everything.  Zomig, Maxalt, and Imitrex all in pill form gave me no relief. I switched to Imitrex injection and it works great. Expensive, but worth it. Good luck


Nasal injector.  Shoot it, lay down for 30-60mins. used to be all I needed to be good to go.  

-Emt1581


See if you can get a Sumavel Dosepro (sumatriptan injection) sample or something similar from your neurologist or doctor at your next visit. I've tried all sorts of nasal sprays and pills and nothing gave me any relief at all until I tried the injection into my thigh. I'm usually good to go in 5-10 minutes, whereas before I would be in a world of pain for 2-3 hours.


I'd actually love to try something injectable because the nasea from the migraine and the Imitrex is hell!  Basically mimics feeling sea sick without the waves.  

We'll see what the doc says Tuesday.

Thanks

-Emt1581
Link Posted: 10/25/2014 11:24:20 PM EDT
[#42]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


I'd actually love to try something injectable because the nasea from the migraine and the Imitrex is hell!  Basically mimics feeling sea sick without the waves.  

We'll see what the doc says Tuesday.

Thanks

-Emt1581
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Quoted:
Quoted:
You mentioned that Imitrex isn't working for you.. Are you taking that in pill form or injection? I have had pretty serious cluster headaches for going on 5 years now and I have tried just about everything.  Zomig, Maxalt, and Imitrex all in pill form gave me no relief. I switched to Imitrex injection and it works great. Expensive, but worth it. Good luck


Nasal injector.  Shoot it, lay down for 30-60mins. used to be all I needed to be good to go.  

-Emt1581


See if you can get a Sumavel Dosepro (sumatriptan injection) sample or something similar from your neurologist or doctor at your next visit. I've tried all sorts of nasal sprays and pills and nothing gave me any relief at all until I tried the injection into my thigh. I'm usually good to go in 5-10 minutes, whereas before I would be in a world of pain for 2-3 hours.


I'd actually love to try something injectable because the nasea from the migraine and the Imitrex is hell!  Basically mimics feeling sea sick without the waves.  

We'll see what the doc says Tuesday.

Thanks

-Emt1581


Best of luck!
Link Posted: 10/25/2014 11:41:07 PM EDT
[#43]
Quoted:
I usually only get one or two a year.  Well I've had my pair in the last month.  Most recently, it was this week.  I spent the day hugging a toilet bowl and dry heaving stomach acid just to get the boat to stop rocking.  Then when trying to sleep I woke up several times to piercing pain in my skull that felt like someone stabbed me with an ice pick.  Problem is, I had taken two doses of my Imitrex and naproxin and that did nothing.

Normally when they are that bad I head to the ER and they give me a shot of Toradol and I'm good to go, takes it away within 10-15min.  Well I didn't make it to the ER this past week.  However, I did schedule an appt. with my dr. to talk about doing something different since the Imitrex isn't working.  

Tonight I spoke with the pharmacist who said they don't really give vials of Toradol to pharmacies since there are so many side effects.  She also said that Imitrex is pretty strong and what is usually done is switching to a completely different type of drug.  She mentioned something with a "max" in the name.

But I'm curious what the rest of you take?  

Thanks

-Emt1581
View Quote

That would be "Topamax, a common Migraine preventative.
Link Posted: 10/25/2014 11:50:22 PM EDT
[#44]
Korean ginseng tea (the powder, not the bags) -- prior to having the tumor removed at any rate.  I no longer have migraine headaches.
Link Posted: 10/25/2014 11:56:45 PM EDT
[#45]
4 advil + triple espresso + lots of water 20 minutes
Link Posted: 10/25/2014 11:59:45 PM EDT
[#46]
Vomit to exhaustion, then sleep it off. Next time, I am going to get drunk, see if things run their course faster.

I have tried several triptans, absolutely worthless. Excedrin migraine is a joke. If I am at work I shoot 4mg of zofran up my nose and push on, which is less than stellar.
Link Posted: 10/26/2014 12:05:37 AM EDT
[#47]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Imitrex works for a lot of people (and it's generic and cheap). But there are 6-7 other drugs in the Triptan family. Often, if one doesn't work, another one might. It's worth trying. Maxalt (Rizatriptan) is now generic. Relpax has great results, but is still brand name and expensive.

Phenergan (promethazine), Compazine (prochlorperazine) or Reglan (metoclopramide) all work well for nausea, but are quite sedating. Zofran (ondansetron) works well and is much less sleepy.

Toradol and Phenergan shots are the cocktail of choice in the ER and urgent care, but you have to have a driver. Most physicians wouldn't order injectable Toradol for at home use. However, there is a spray form of Toradol, called Sprix. It's a nasal spray that rapidly absorbs and is supposed to be as effective as Toradol. It's about $100/shot, so it's not cheap, but might be less than going to the ER.

As others have mentioned, Imitrex (and its friends) are most effective if taken as soon as you feel or think a migraine is coming. Don't wait to see if it's bad. Take it quickly and you might cut it off at the knees.

Now, this is just general medical information. I'm not your doctor. Only you and your doctor can work out the best choice for you. Don't rely solely on information gained from some internet gun board (even if some of us actually are doctors ;-)
       
View Quote


I get the aura, taking triptans at aura onset does nothing, upping dosage doesnt either.  I've had morphine and it did work, which is odd since its not a first line treatment for it.  I also had a tension headache on top of a migraine w/aura so maybe the migraine had passed and it just worked on the tension part.  Its frustrating to find a good drug. I need to see a neurologist again, and I would like an echo to see if I have a pfo, but I have been putting it off since I only get one every 6 months or so.
Link Posted: 10/26/2014 12:18:35 AM EDT
[#48]
Demerol, cold room with no light and going to sleep- usually after puking my guts out.  I only get them once or twice a year and I'm going to be hating life when I exhaust the demerol I have left from a prior surgery.  
Link Posted: 10/26/2014 12:27:07 AM EDT
[#49]
Coffee, excedrine, sudaphed and more coffee.
Link Posted: 10/26/2014 12:37:10 AM EDT
[#50]
Unisom and reading glasses.

For me personally, migraines are a result of too little sleep combined with eyestrain from looking at a computer monitor.  I found that I was getting them consistently during bow season when I was getting up very early to go deer hunting.  A couple days of hunting , a couple more bad nights of sleep for whatever reason, stare at a monitor for several hours and I start seeing funny splotches in my vision followed 15 minutes later by a migraine.  I got them at other times of the year. But only when I went several days in a row getting very little sleep.

Now, if I go 2 or 3 nights where only I get 4 to 6 hours of sleep, I take an over the counter sleep aid and make sure I get at least 8 hours of sleep.  I also use 1.25x reading glasses at work.  I started this about 2 years ago and since then I haven't had a migraine..

Hopefully this will help someone.
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