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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Migraines Be Treated?

I suffer chronic daily migraines. I receive Botox injections for my condition, and take Effexor as a prophylaxis. I ve also tried the entire gambit of blood pressure meds, different seizure meds, mood elevators, vitamin supplements and diets. The only thing that consistently works are triptans. The problem is, I have a migraine almost every day, but am not prescribed enough triptans to cover the 25+ migraines I get per month. Steroids like dexamethasone seem to offer relief but those can t be taken long term. Is it possible for a neurologist to prescribe triptans for every day of the month?
posted on Fri, 16 Dec 2016
Twitter Sat, 28 Jan 2017 Answered on
Twitter Tue, 31 Jan 2017 Last reviewed on
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General & Family Physician,  's  Response
Hi,
I understand your concern but it is not advisable to prescribe more than 10 triptans per month. It only leads to migraine exacerbation (intensifying of headache due to a long use of anti-migraine drugs), and sometimes we have to leave patients without treatment so that we can detoxify them from the accumulated drug in the organism causing the intensified pain. So, a Neurologist won't prescribe the 25+ triotans you need every month.
I see that you have tried every kind of treatment available out there, and I'm sorry to say that there is nothing more we can do.
Wish you better health, and a peace of mind!
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How Can Severe Migraines Be Treated?

Hi, I understand your concern but it is not advisable to prescribe more than 10 triptans per month. It only leads to migraine exacerbation (intensifying of headache due to a long use of anti-migraine drugs), and sometimes we have to leave patients without treatment so that we can detoxify them from the accumulated drug in the organism causing the intensified pain. So, a Neurologist won t prescribe the 25+ triotans you need every month. I see that you have tried every kind of treatment available out there, and I m sorry to say that there is nothing more we can do. Wish you better health, and a peace of mind!