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Re: Migrains

From: anonymous@obgyn.net
Wed, 29 Sep 1999 11:50:12 -0500 (CDT)


I also get continous migrains which I take Propranolol (generic for Inderal)daily. It does help but once my cycle starts it's normal for me to have a headache for at least 3 days straight night/day. So bad that I have Vicodin prescribed to me and that just takes the edge off. I seem to think it has something to do with my period but my Dr. doesn't agree. Should I get a second opinion? I've been taking Propranolol for over 2 years now and my Dr. says it'll eventually go away or not,but not to worry since there really isn't anything wrong with taking the medication. But when the headaches come I am so misrable! They make me nausous and it's very hard to function. So you are not alone! DMCAt Mon, 21 Apr 1997, Debra wrote: >
>At Sun, 20 Apr 1997, Harvey S. Marchbein, M.D. wrote:
>>
>>At Fri, 18 Apr 1997, Debra wrote:
>>>
>>>My migraines are directly related to my cycle. I've been to many
>>>different GYN's and Neurologists. I have yet to find an solution to the
>>>pain. I've tried imetrix, cafregot... the list goes on. I've have all
>>>the test including an MRI. When not on the pill, I experienced dots and
>>>lines in my vision along with my headaches, so I went back on. When on
>>>the pill I still get headaches on my "off" days. My latest attempt from
>>>a GYN was to put me on Depo Prevera. This helped only about 10% more
>>>than the pill, however, I've been a little depressed (no up or high
>>>days), irritable, and I have absolutly no sex drive. My search has
>>>lasted over 8 years. I'm very frustrated. I feel like no doctor wants
>>>to deal with me the GYN's send me to the Neurologist and vice versa.
>>>What do I do next? Someone else must have the same problem.
>>
>>Debra,
>>My heart goes out to you. Not only do I treat these as a physician, but
>>it runs in my family - 5 generations - menstrual migraines mainly, but
>>at other times too. I know how this can affect your ENTIRE life.
>>I don't know if yhou've tried the following (since it seems like you've
>>done everything possible so far) but here goes: Caveat - These are daily
>>medications used as a preventative.
>>
>>Inderal (and if unable to take for a variety of medical conditions or if
>>it didn't work):
>>
>>Verapamil (a calcium channel blocker for hypertension, found out by
>>coincidence to prevent migraines)
>>
>>Amytriptiline (an anti-anxiety medication which is used to potentiate
>>(make it work better) the Verapamil)
>>
>>Sansert (serious side effects including pulmonary fibrosis (treatment
>>limited to 6 months))
>>
>>Periactin (major complaint is weight gain - I mean major!)
>>
>>If, indeed your body is responding a change in hormones rather than a
>>drop in hormones, constant hormone therapy with a withdrawl bleed every
>>4 months (this is safe) can be done. Also, some people have written
>>about pre treating the menstrual migraine to prevent it.......kind of
>>like pre treating a stain so it never forms. Medications like Motrin
>>800mg or Anaprox DS can be used, starting treatment 2-3 days prior to
>>when you expect your period/migraine. This has worked on a significant
>>number of my patients. Good luck with this vexing problem.
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>OBGYN.net U.S. Representative, New York
>>Great Neck, New York
>>
>>*Note: Opinions expressed here are for educational purpose only.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options.
>>
>Thanks for the info Dr.Marchbein. I have tried Amitriptliene in a very
>low dose though, (I was part of a study) and I have tried the Motrin
>daily. I would like to discuss the other options with a physician but
>just moved to Rochester MN and I don't usually have good luck finding an
>understanding Dr. like yourself. Any suggestions? My last doctor said,
>"Why would you take Isocet, why not just take tylenol." She didn't quite
>understand how painful a migraine is. Thanks
>
>--
>debra
>



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