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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Migraine

Hi my name is Amanda. I m 25 years old. I have migraines for as long as I can remember. It runs in our family. my question for today is. I ve been taking Imitrex 100mg, but doesn t seem to be working anymore. It has gotten to the point where I wait 5 hours after taking the 100mg, I have to take another. also, while I was washing my hair, it felt like the right side on top of my forehead was enlarged. (while I was having a migraine) What could this mean? Is there any other suggestions on what else I could take for migraines. I m seeing my doctor first thing in the morning.
Fri, 20 Jan 2017
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General & Family Physician,  's  Response
Hi,

There are different presentations/formulations of these type of migraine medications, that is they can be used as a nasal spray or sublingual (under the tongue). These have a faster onset of action. If the imitrex is not working for you at all, no matter then you may need to change it to another triptan, that is zolmitriptan or rizatriptan.

Opioids are also an optionIn addition, if the headaches are occurring very commonly, you may need to use prophylactic medications. These are medications that reduce the frequency or number of headaches that occur. You may need to speak to your doctor about this option.

I Hope this helps. Let me know if I can assist you further.

Regards,
Dr. Michelle Gibson James
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Suggest Treatment For Chronic Migraine

Hi, There are different presentations/formulations of these type of migraine medications, that is they can be used as a nasal spray or sublingual (under the tongue). These have a faster onset of action. If the imitrex is not working for you at all, no matter then you may need to change it to another triptan, that is zolmitriptan or rizatriptan. Opioids are also an optionIn addition, if the headaches are occurring very commonly, you may need to use prophylactic medications. These are medications that reduce the frequency or number of headaches that occur. You may need to speak to your doctor about this option. I Hope this helps. Let me know if I can assist you further. Regards, Dr. Michelle Gibson James