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Suggest Treatment For Migraine Headache

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Posted on Tue, 23 Dec 2014
Question: I have migraines i need something from break through I am relpax but i need something for pain such as oxycdone and hydrocodone,
doctor
Answered by Dr. Geldon Fejzo (34 minutes later)
Brief Answer:
You need to go the emergency department for Oppioids

Detailed Answer:
Hello. I have been through your question and understand your concern.

Since you suffer from migraine headache I assume you are well informed about the migraine attack and its treatment in different stages of the headache.

Since you are relaxed, I suppose your headache is moderate. In that case it is recommended to take some NSAID, the most effective seems to be Naproxen 500 mg orally. Another option are the triptans and ergot alkaloids, with the oral Sumatriptan 100 mg being the best choice.

Oppioids such as oxycodone and hydrocodone are generally used in extremely severe headache. In this case you should seek help in the emergency department.

Hope this answers your question, please feel free for further questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Geldon Fejzo (17 hours later)
I actually went to the MEA clinic and was given a shot of tordol. My migraines are so badd, but it really pisses me off when I get there for help I keep hearing we usually dont use opoids for migraines, but if I have reached the point that I have tried all Naproxen, Excedrine Migraine, Ibuprofen, Tylenol u name it, I just want the pain gone. Then they gave me some damn ultram that shit doesnt work it just makes me sleepy. I dont like hydrocodone because the itching is insane. I am at a lost of what to do, it seems like the dr's dont want to really help people as they feel they are seeking pain medications and it is not fair. I am a Registered Nurse and I know what that feels like you are hurting but when you ask for help its almost like you are a junky, I seldomly have to go to the ER or Clinic for my Migraines because I try to use my replax, but sometimes that just doesnt work. There is a stigma attached to this. Should I call them today and tell them that the Medicine Tramadol didnot work and pray that they call me in something else this is ridiculous
doctor
Answered by Dr. Geldon Fejzo (13 minutes later)
Brief Answer:
You should call your GP

Detailed Answer:
Hello again. Well, migraine headache is really troublesome and debilitating sometimes, so I perfectly understand your concern. Since headache is subjective, its intensity is reported by the patient, with no objective clinical sign. That is why patients are sometimes stressed with their doctors believing that they don't fully understand their concern.
You should definitely talk about this matter with your GP. You should also know that doctors do not prefer prescribing opioids to chronic conditions, like migraines. And the reason is quite simple. Because of its dependency. Once your pain will go away with opioids, you will always seek for opioids, because the other treatments will not be effective anymore. So you should seriously consider this aspect too when talking to your GP.

Hope this answers your question, please feel free for further questions.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Geldon Fejzo

Neurologist, Surgical

Practicing since :2009

Answered : 337 Questions

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Suggest Treatment For Migraine Headache

Brief Answer: You need to go the emergency department for Oppioids Detailed Answer: Hello. I have been through your question and understand your concern. Since you suffer from migraine headache I assume you are well informed about the migraine attack and its treatment in different stages of the headache. Since you are relaxed, I suppose your headache is moderate. In that case it is recommended to take some NSAID, the most effective seems to be Naproxen 500 mg orally. Another option are the triptans and ergot alkaloids, with the oral Sumatriptan 100 mg being the best choice. Oppioids such as oxycodone and hydrocodone are generally used in extremely severe headache. In this case you should seek help in the emergency department. Hope this answers your question, please feel free for further questions. Wishing you good health.