Steve why Big pain meds don't work

[debhun]

on migraines? the only thing that will take mine away is tordaol. Why it that?

Thanks Deb

[Pharmacist.steve]

on migraines? the only thing that will take mine away is tordaol. Why it that?

Thanks Deb

Not knowing all the particulars .. it may be a matter of the opiate dose being too low... for some reason ... certain opiates work better on certain sources of pain than others... one of the medical mysteries that we haven't figured out yet.

[krashleen]

Steve what do you see as migraine relief medication? Just curious from your perspective.

Debhun, have you tried any of the triptans? I have had minor relief from Relpax which has been a godsend.

Question for Steve...would Relpax would on any other type of headache?

[Kathi49]

Deb,

I don't know why but the opiates didn't do too much for my cervicogenic headaches. But the Toradol kicked them out and I suppose being anti-inflammatory is why.

[Kira]

Some of the opioids actually give me a headache as a side effect. This especially happens to me with too much IV dilaudid (in the hospital). I have noticed that it is not as bad with equivalent doses of IV morphine, for whatever reason. Everyone is different, though.

The headache I get from too much dilaudid is not the same as a migraine. It is just a plain old bad headache.

I have had migraines but I don't get them that often... probably several a year, but not tons and tons of them like others get. They are not my worst health issue, but they are horrible. For me, they are pretty classic migraines with the vision changes and flashing lights and sensitivity to light/sound and lots of nausea/vomiting. I get neuro changes with them occasionally, too, but that is because of my mitochondrial disease.

Maybe some trial and error with different meds will help you find a regimen that works for you. You really need to get your blood pressue under control, too. It could be causing your headaches or at least making them worse.

[Kathi49]

Kira,

I agree about the opoids actually causing headaches; as well as rebound headaches. It was tough trying to stop the latter.

[Pharmacist.steve]

Steve what do you see as migraine relief medication? Just curious from your perspective.

Debhun, have you tried any of the triptans? I have had minor relief from Relpax which has been a godsend.

Question for Steve...would Relpax would on any other type of headache?

Imitrex is the GRAND-DADDY of the meds for migraines and at first only available via injection... they now have some tripans that use the sub-lingual route to work as quick as the injections..

IMO... the biggest problem with migraine suffers is that they wait too long to take their meds... as a rule of thumb .. be it allergies, migraines or what have you . it is easier to get on top of it and get them under control if you don't wait until they are full blown.

And using the injectable or sub-lingual will get past the 20-40 minute wait for a oral med to kick in.

[debhun]

Imitrex is the GRAND-DADDY of the meds for migraines and at first only available via injection... they now have some tripans that use the sub-lingual route to work as quick as the injections..

IMO... the biggest problem with migraine suffers is that they wait too long to take their meds... as a rule of thumb .. be it allergies, migraines or what have you . it is easier to get on top of it and get them under control if you don't wait until they are full blown.

And using the injectable or sub-lingual will get past the 20-40 minute wait for a oral med to kick in.




Steve that is very true about geting on top of it before it is out of controll. I did that for 3 days when I felt it coming I took some right then and there and I was fine.