Is Stadol the right medicine for migraine headaches?

Posted on Mon, 8 Jun 2015 in Headache and Migraines
Question: I have stress and migraine headaches and I take the generic Fioricet. The "old" version is no longer available (50gm-325mg-40mg) and my insurance will not cover the "new" version (50mg-300mg-40mg). I have been on this medication for years and its been a life saver for me. I have tried Stadol but that drug is not for me. The rebound headaches from Stadol are worse then the migraine. Any suggestions?
Answered by Dr. Manisha Gopal 2 hours later
Brief Answer:
naproxen sodium; avoid triggers

Detailed Answer:

You are right that stadol is not a drug for treating migraines. It is an opioid and will make one more prone for rebound headaches and this drug may even led to addiction and tolerance ..thereby more drug will be needed in long term.

In chronic cases of migraines I have seen very good results with naproxen sodium with domperidone combination (500mg) to be taken on pnr basis within 5-10min of strating of headaches. If dealyed then no drug will be able to completely abort the headache episode.

If the number of episodes are more than 4 per month and they are debelitating..then we treat this with proper daily medicine. It is good to manage migraine properly.

also try to find your triggers and handle them. Most common triggers are- travelling, hunger, insomnia or sleeping more, alcohol, certain smells,sunlight exposure for long, changing season, ocp pills, alcohol...the list is long...but try to recognize and avoid those which you can.

Hope the reply is useful for you.
Wish you a speedy recovery!

Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Manisha Gopal


Practicing since :2005

Answered : 947 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,   ,   ,  

Recent questions on  Insomnia

doctor1 MD

I ve been having insomnia and consequest migraine headaches for the past 8 years. The very first neurologist i met had prescribed me an MRI which...

doctor1 MD

I am age 43 with no menstrual cycle since 12/27/2013. I had a recent pap smear.I am not on any birth control, tested negative for pregancy. I have...

doctor1 MD

I just started taking a drug called Metoprolol for irregular heart beat (premature supraventirbular beats). 50 m/day. have been having several...

doctor1 MD

Can fasting improve insomnia? To fast safely do I need professional supervsion or blood tests? Is fasting safe for slender people?

doctor1 MD

I have just started a phentermine/topamax combo for weight loss , very low dose. First day, having serious insomnia , so just took a 50 mg...

doctor1 MD

Hi, I am suffering from insomnia from last 7-8 months and have started allopathic medicines from last 2 months

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction