A member asked:

My wife 41 years old has had a history of migraines prior to the birth of our daughter almost 4 years. 72 hrs pain and ringing in ears how to rx?

2 doctors weighed in across 2 answers
Dr. Paul Grin answered

Specializes in Pain Management

See a specialist: There are many good medications for migraine treatment. Migraine is a serious and complex neurologic disorder. Today effective management of migraine involves three specific strategies: 1) patient education 2) non-pharmacological management (diet, sleep hygiene, acupuncture) and 3) pharmacological (triptans, topamax, (topiramate) etc) management. Rec.:see orofacial pain or headache specialist. Hope it helps.

Answered 6/11/2014

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A drug cocktail: My favorite cocktail of drugs to use for migraine that is prolonged is IV toradol, with IV Reglan (metoclopramide) and IV decadron. The toradol helps with the actual pain, Reglan (metoclopramide) works in the central nervous system and helps to break the migraine, and Decadron works on the inflammation of the vessels.

Answered 6/30/2014

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