Therapy-resistant migraines

Posted by richardfrancine @richardfrancine, Feb 19, 2024

Hello everyone
I have been a migraine sufferer since the age of 8. I am now 77 and live with a headache 24/7 (except for the two days a week when my neurologist allows me one narcotic pill). I have tried every therapy in the book (betablockers, triptans, NSAID’s, botox, etc, etc…., including the latest meds out there- cgrp antagonists (aemovig, emgality, ubrelvy, and, so far, 3 infusions of Vyepti). NOTHING WORKS! Have any of you experienced this state of affairs and have you finally solved the problem? I am at my wits’ end. Thank you for any feedback!

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Profile picture for roseann4z @roseann4z

Thank you I did monitor some of the summit lectures this year. However I’m sorry to say the membership is not in our budget. I did get some helpful information though.

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I'll pay for it. Jim

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I just turned 80 a couple of weeks ago; my migraines started in my 20's. I've suffered with them daily for 60 years and tried most drugs. The newer drugs on the market are out of my price range. The biggest help I've had is from changing my eating habits. All scratch cooking with organic foods. All the pesticides used on food triggered my migraines. I log my food and make note of foods that trigger headaches, I noticed pork as a trigger. Sugar is a HUGE trigger; I get a tad envious when I bake cinnamon rolls or cookies for my hubby and can't eat them. I'm currently on 10 mg of Amitriptyline and it's not working. I have an upcoming appointment, maybe he'll prescribe something I can afford.

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Profile picture for bobbi2 @bobbi2

I just turned 80 a couple of weeks ago; my migraines started in my 20's. I've suffered with them daily for 60 years and tried most drugs. The newer drugs on the market are out of my price range. The biggest help I've had is from changing my eating habits. All scratch cooking with organic foods. All the pesticides used on food triggered my migraines. I log my food and make note of foods that trigger headaches, I noticed pork as a trigger. Sugar is a HUGE trigger; I get a tad envious when I bake cinnamon rolls or cookies for my hubby and can't eat them. I'm currently on 10 mg of Amitriptyline and it's not working. I have an upcoming appointment, maybe he'll prescribe something I can afford.

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Are you on Medicare? Part D (prescription) plans usually cover one CGRP med and I’ve been able to get others on Medicare with a Prior Authorization. It’s definitely more work for your doctor, but I have found that is one of the items I used to measure a good doctor by, whether they’re willing to do some of the annoying paperwork that I need done. It’s okay to ask them to help you get meds not in your formulary. They also might have samples you can try while you’re waiting to hear from your insurance. Good luck, let us know how it goes!

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Profile picture for bobbi2 @bobbi2

I just turned 80 a couple of weeks ago; my migraines started in my 20's. I've suffered with them daily for 60 years and tried most drugs. The newer drugs on the market are out of my price range. The biggest help I've had is from changing my eating habits. All scratch cooking with organic foods. All the pesticides used on food triggered my migraines. I log my food and make note of foods that trigger headaches, I noticed pork as a trigger. Sugar is a HUGE trigger; I get a tad envious when I bake cinnamon rolls or cookies for my hubby and can't eat them. I'm currently on 10 mg of Amitriptyline and it's not working. I have an upcoming appointment, maybe he'll prescribe something I can afford.

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@bobbi2 - Do you have any tips on how you keep a log of what foods you eat and what foods trigger headaches?

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Profile picture for Lisa Lucier, Moderator @lisalucier

@bobbi2 - Do you have any tips on how you keep a log of what foods you eat and what foods trigger headaches?

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I purchased a large calendar (has the whole month on each page) and write all info on it. If I wake up with a migraine, I write down what I had for supper the night before. I do the same if I develop a migraine during the day. I write down not only food but types of OTC pills or sumatriptan. I highlight in yellow if I took a sumatriptan. You can usually see a pattern of what triggers a migraine. Sometimes a strong smell or odor triggers them, I write that down too. At the end of the month, you'll see foods that are likely to trigger migraines.

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Profile picture for sanderson23 @sanderson23

Are you on Medicare? Part D (prescription) plans usually cover one CGRP med and I’ve been able to get others on Medicare with a Prior Authorization. It’s definitely more work for your doctor, but I have found that is one of the items I used to measure a good doctor by, whether they’re willing to do some of the annoying paperwork that I need done. It’s okay to ask them to help you get meds not in your formulary. They also might have samples you can try while you’re waiting to hear from your insurance. Good luck, let us know how it goes!

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Yes, my doc filled out forms for Emgality. I received a whole years supply for free but it didn't help at all. I have an upcoming appointment next week, I'll see if anything new on the market that I can afford or get help with.

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Profile picture for bobbi2 @bobbi2

Yes, my doc filled out forms for Emgality. I received a whole years supply for free but it didn't help at all. I have an upcoming appointment next week, I'll see if anything new on the market that I can afford or get help with.

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My doctor has said and I have also heard from the experts on the migraine world Summit that sometimes when one CGRP medication doesn’t work another one will. I’ve also heard that Vyepti is probably the one that works the best, but there are more issues with most people getting it covered with insurance. However, sometimes it’s actually an easy one to get on Medicare because it doesn’t go through your prescription coverage. It goes through part B. Just ideas to talk to your doctor about. Good luck!

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Yes, I can relate. Have you tried a high dose, long term Prednisone? I, too, have tried everything on the market. neurologist sent prednisone without consulting me about dosage or mg. It helped, but I need more mg and for longer. sometime epilepsy drugs are used for several months. Good luck. Let me know how you do. Try another neurologist.

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Profile picture for sanderson23 @sanderson23

Are you on Medicare? Part D (prescription) plans usually cover one CGRP med and I’ve been able to get others on Medicare with a Prior Authorization. It’s definitely more work for your doctor, but I have found that is one of the items I used to measure a good doctor by, whether they’re willing to do some of the annoying paperwork that I need done. It’s okay to ask them to help you get meds not in your formulary. They also might have samples you can try while you’re waiting to hear from your insurance. Good luck, let us know how it goes!

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Nurtec was about $500 for a month's supply with Aetna. Once I hit $2,000, then all other drugs are free. Nurtec hasn't changed my daily migraines and I have two more pills to put under my tongue. Then CVS tells me the next month's supply will be close to $450. Why should I buy it?

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Profile picture for bobbi2 @bobbi2

I purchased a large calendar (has the whole month on each page) and write all info on it. If I wake up with a migraine, I write down what I had for supper the night before. I do the same if I develop a migraine during the day. I write down not only food but types of OTC pills or sumatriptan. I highlight in yellow if I took a sumatriptan. You can usually see a pattern of what triggers a migraine. Sometimes a strong smell or odor triggers them, I write that down too. At the end of the month, you'll see foods that are likely to trigger migraines.

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Keep track of when you take sumatriptan as it will cause rebound headaches. Try eletriptan, for me the rebound headaches are not as frequent.

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