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Posts Tagged ‘migraine preventatives’

An update on my post from Sunday

Good – My blood work came back showing marginally low Vitamin D, which a OTC Vit D supplement with 1,000 iu’s per day should correct.  Easy peasy!

Better – Since I seem to get more migraines during the winter than during the summer, we’re going to beef up my preventives by adding Baclofen, a muscle relaxer.  Last March, I got stuck in a 3-week-long mega-migraine cycle that couldn’t be broken.  No fun.  The plan is to prevent a reoccurrence this year.  My neuro gave me her top 3 recommended meds and I chose to try Baclofen first.  (Have I mentioned that I ♥ my neuro?  And her PA?  And their awesome nurse?)

Best – My MRI showed no signs of MS!!  Whoohoo, non-existent bullet dodged!  They did pick up sinusitis, but that’s old news by now.  Needless to say, I’m thrilled that they didn’t find anything serious.

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I posted a couple of months ago about my search for–an appreciation of–a new doctor for my migraines.  Enter Dr. M.

To pick up where I left off in my last post on the topic, Dr. M gave me three treatment options:

1. Leave everything the way it was, including the two preventative medications I was taking daily and the migraine abortive medication I took when I did get headaches.

2. Begin searching (via trial and error) for migraine preventative mediation(s) that would be more effective at reducing the frequency of my migraines.

3. Wean off all preventive medications and begin lifestyle changes designed to minimize my migraines naturally.

I decided to give my body the opportunity to do this on its own and chose option #3.

Dr. M’s instructions were as follows:

1. Exercise (aerobic) 30 minutes daily.

2. Set a sleep routine and stick to it.  Determine the RIGHT amount of sleep for me (between 7-9 hours/night).  Keep the same bedtime every night and rise-time every morning, even on the weekends.

3. Eat small, frequent meals in order to keep my blood sugar level more constant.

4. Keep hydrated – drink plenty of water daily.

5. Learn–and practice–some form of stress management (meditation, reading before bedtime, etc.).

6. Read the book Headache 1-2-3.

To date, I have been better at keeping some of these guidelines than others.  #6 hasn’t yet happened, though I’ve read other headache/migraine prevention books.  #1 has been touch and go.  I bought an elliptical, but find it uncomfortable to use.  (There’s definitely a quality difference between the ones at the gym and the one sitting in my living room!)  I’ve been very good at #’s 3 and 4 (I eat every 3 hours and make a conscious effort to drink a set amount of water or Gatorade throughout the day).  I’m working on making a habit of #5 and have found that giving myself a nighttime routine makes my evening into a de-stressing time (as it’s designed to do). 

For me, #2 has proved to be the key to preventing migraines.  I CANNOT emphasize enough how important sleep regulation can be for migraine prevention.  If I don’t get 8 hours of sleep one night or stay up later than 11pm, I’m almost guaranteed to develop a migraine the next day. 

I’m happy to say that my migraines are managed equally well through these lifestyle modifications as they were through chemistry.  Meanwhile, I feel better, too!

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and I am a migraine sufferer.    

There, I said it.  It’s something not many of my friends may know about me, though my utterly devoted husband has become all too familiar with my migraines (especially during the past few months).  Call this the beginning of my coming out, if you will.  It’s really not something I’m very comfortable with, frankly.  I’ve always been a tomboy, and lately I feel like my body is failing me.  I don’t like being labeled as ‘sick’, though it’s nice to finally have a ‘diagnosis’ for several years worth of pain, nausea, asking Tim to turn down the TV, cringing at oncoming headlights when driving, etc.  At my husband’s urging, I went to see my general practice doctor a year and a half ago for my severe, almost daily headaches.  And after going through three different doctors, several other diagnosis, a nasty car accident that certainly didn’t help matters, and finally seeing a neurologist in November, I’ve been diagnosed with chronic migraines.  It turns out I’ve had them for at least three or four years.

How can you not know you have migraines?, you ask.  I should clarify.  I’ve had several what I would consider crippling migraine attacks–horribly throbbing head, severe nausea, intense photophobia and phonophobia–that put me in bed for the day.  So yes, I knew I had migraines.  I’d get them once or twice a year, until this year.  This year I’ve had five or six of those.  However, I was under the impression that the daily headaches I was getting where “regular” headaches.  Yes, they were bad and I wanted to puke and crawl in bed when I got home at the end of the day, but I was under the (misguided) assumption that you had to be in an immense amount of pain for the headache to be a migraine.  Migraines are actually defined as vascular in nature, not by the amount of pain they generate, though they generally are quite painful.  (http://en.wikipedia.org/wiki/Migraine)

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 My diagnosis leaves me working towards findings a treatment program that works for me.  Unfortunately, this is a frustrating, trial-and-error process.  My doc originally put me on Topamax (another story) as a preventative, and has now added Pamelor.  I take Imitrex as an abortive (i.e. when I feel a migraine coming on).  I also get to make lots of fun lifestyle changes, like limiting how much cheese, pizza, and wine I eat.  Of course, all my favorites!  Meanwhile, I’ve done a lot of research and found out how scary migraines are.  From a physiological standpoint, a migraine is very similar to a stroke, and migraineurs are more likely to suffer a stroke at some point in their life.  What the medical community doesn’t agree on is how much more likely, but it’s between 50-80% vs. those who don’t have migraines.  (http://headaches.about.com/cs/education/a/hp_ingore_not.htm)

On the upside, I have a wonderful, supportive husband who loves me very much and will stand by me through anything.  They say the first year of marriage is often the rockiest (if that’s a word).  Time will tell if ours has been, but we’ve grown a lot together.  Our families (and friends) have helped us a lot, too, but mostly it’s just been the two of us.  We rock!  And I’m looking forward winter being over (I’m not a fan of winter, it’s a blue, cold time of year for me), and spring to be here!

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