theresat: (Default)
[personal profile] theresat
My head feels like it is being split by an axe, despite several rounds of attempting to nap and one imitrex. I would still be in bed, but I have an exam at 6.

Can you take another imitrex if you still want to remove your head? And if so, how long after the first? I took the first around 12:30, and I'm still in screaming pain.

My 6 pm professor is the type to lecture after she gives the exam, but there is no way I can handle that, so I'll likely be home by 8. That's enough time in between, right? Because I'm not taking one then driving, I discovered the poor choice that is earlier.

Fix me. :(

Date: 2009-04-02 08:42 pm (UTC)

Date: 2009-04-02 08:43 pm (UTC)
From: [identity profile]
Call the Doctor's office that prescribed the imitrex and ask them. The nurse should be able to answer your question, plus she'll have access to your chart for more information than you're likely to be able to share over the LJ.

Date: 2009-04-02 08:44 pm (UTC)
From: [identity profile]
They close at 4:30. :( I wish I had thought of that, though.

Date: 2009-04-02 08:46 pm (UTC)
From: [identity profile]
Try your pharmacist next.

Date: 2009-04-02 08:53 pm (UTC)
From: [identity profile]
That was my thought; call your pharmacist.

Also, do you have insurance? If so there might be a number for a 24-hour "nurse advice line" on the back of the card.

Date: 2009-04-02 11:46 pm (UTC)
From: [identity profile]
Well... in my experiences you can take a second imitrex even an HOUR after the first if the first didn't do the trick. And that's pretty often when you are me. I am usually questioning when I can take a third or fourth so I wouldn't worry too much about a second if you can't get ahold of anyone.

And yes, driving after imitrex is like #1 no-no in my book.

Good luck!!

Date: 2009-04-03 01:26 am (UTC)
From: [identity profile]
hi, sweety,

Sorry you feel crummy...

- Yes, you can take another in an hour
- You seem to be having a LOT of these, and pretty bad ones. Medication-wise, take them about an hour apart, but still do the dark, quiet room thing.
- Sadly, Imitrex isn't very helpful if you don't take it at the very first hint of a migraine.
- For faster relief, they make self-injection gadgets which are very easy - a tube you hold against your arm and hit the button, You never see the needle, and it works much faster than a pill, although it wears off faster, too. I usually self-injected, waited about 45 mins to an hour, then took a pill before the injection wore off.
- A really innocuous drug you can also try is Dramamine (usually taken for motion sickness) It will make you sleepy, but it helps with the symptoms for certain types of migraines.
- Identify which side of your head the migraine is on, and put an ice pack at the nape of your neck on that side for as long as you can stand it.

- Due to the frequency, it's pretty clear that these are stress-related. Time to get some help with the root cause. Whatever that may be, that's private and none of my biz. FYI a medical doctor can't help with that, though. They only treat the physical. In fact, given the frequency and severity, I am really wondering about whether you have a decent dr. if they haven't asked about your stress level and the underlying causes, and recommended some assistance with that.

Something is causing your body more stress than it can handle, and this is how it is trying to send a flag up the pole to you.

Feel for you, dear, been there. In my case, the 3-4 migraines a week and migraine that lasted a week or more was due directly to job stress and having to fire someone who thought that if you argued long and loudly enough, she could somehow make it so the firing process would stop and she would suddenly be acknowledged as competent - it was an unmitigated nightmare that went on for months.

Also, the prophylactic clearly isn't doing the job for you - time to see a migraine specialist (yes, there is such a thing).

Overall, I recommend having a talk with your HMO's Patient Advocate. They can be contacted via Member Services (that number is usually on the back of your card). It's their job to help people who are suffering but not getting relief, and they are pretty nice people, as a breed 8-)

Good luck, my heart goes out to you, I know that pain, it is devastating.

(gentle) hugs...

Date: 2009-04-03 03:17 am (UTC)
From: [identity profile]
I hope you're feeling better and that the exam went okay.

Date: 2009-04-03 02:48 pm (UTC)
From: [identity profile]
anytime you need to crash at the house feel free. its a bit chilly during the day...but its getting warmer. There are blankets in the closet outside the bathroom so feel free to curl up on the couch under a hundred blankets.


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