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Chronic migraine relief suggestions

Headache & Migraine | Last Active: Jun 21 4:59pm | Replies (31)

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@sesameseedling

Have you tried all the different triptans and all the different strengths? Rizatriptan comes in 5mg and 10mg, and I take the dissolvable version. There also Sumatriptan. Eletriptan also comes in different strengths. My doctor also told me that being on an SSRI helps the triptan work better at a lesser strength. It may be worth talking to your doctor about taking an SSRI to see if that could help the triptan work? You probably have tried all these and if so, I am sorry they don’t work to relieve your pain.
Beyond triptans, things that have worked for me include using an ice block on the back of my neck (which is where I get my migraines), pressing on my temples very hard in hopes the pounding will stop, and sometimes (believe it or not) throwing up. (I found this out accidentally, when I threw up and suddenly my migraine was gone). I have also tried high doses of ibuprofen and Tylenol, although these usually just take the edge off and don’t fully get rid of the migraine.
Another thing I do is measure out my coffee to the ounce and have the exact same amount each day so as not to trigger a migraine. I also drink a ton of water, and keep my diet consistent bc certain food additives can also trigger one.
Sending hope you will find some abortive med that works.

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Replies to "Have you tried all the different triptans and all the different strengths? Rizatriptan comes in 5mg..."

I’m interested in your comment about taking SSRIs with a
Triptan. I had been using Ubrelvy for some time with little relief. After a recent hospitalization for the worst and intractable migraine I ever experienced, accompanied by a severe urinary tract infection, I received prescriptions for Nurtec and Imitrex when I was discharged. Those two meds aren’t taken together. I’ve used them on different days at migraine onset. I also take a monthly Ajovy injection for prevention; the effectiveness appears to be diminishing. I had the same experience with Emgality.

Nurtec doesn’t help; however, Imitrex usually relieves my headache within about a half hour. I’ve taken antidepressants for several years; perhaps that’s why Imitrex is working for me. It’s only been a few weeks since starting it, but I’m grateful for the relief with Imitrex so far. I hadn’t considered the SSRI connection.

I’ve seen postings relating to diet triggers for migraines, but haven’t connected them with anything I’ve eaten. I don’t use caffeine, cola or artificial sweeteners. Cheese and chocolate don’t bother me. My headaches seem connected to the weather, which has been awful this year. We have experienced a significant amount of rainfall, wind, followed by brief periods of pleasant weather, interspersed with chilly, cloudy days.