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Mount Washington, KY
A 38-year-old female asked:

What is the best treatment for rebound headaches if your allergic to triptans, dhe, tordol, stadol, and ultram. botox didn't work. status migraine 2 w?

3 doctor answers3 doctors weighed in
Dr. Jan Lei Iwata
Dr. Jan Lei Iwataanswered
Ophthalmology 26 years experience
Get a 2nd opinion fr: an integrative medicine doctor if you've tried all the medical protocols without success. You may need to have your food allergies profiled, and evaluated so that you can see what is triggering these headaches to not get better. There may also be lifestyle or nutritional issues, stress impacting this too, or even insomnia or lack of adequate sleep. It can be a vicious cycle. So, the time is now!
Dr. Cynthia Archer
Internal Medicine 19 years experience
Yes, Accupunture is extremely effective for migraine pain. Also Botox really needs to be used continuously every 3 months for a year to become fully effective as a preventative drug. It still will not treat headaches when you get them, but the idea is to reduce the frequency and intesity of the headaches. Most women stop getting migraines after menopause.
Sep 30, 2014
Dr. Cynthia Archer
Internal Medicine 19 years experience
Go 2 migraine expert: At a teritary center. See a headache specialist. I have to be suspect about having that many drug allergies. Is it true allergy or adverse drug reaction? By chance do you get relief with oxycodone, hydocodone, morphine or dilaudid? In that case, it may be that your headaches are not migraine. One excellent place to be evaluated is the Neurology Department @ Mayo Clinic in Scottsdale, Arizona.
Dr. Cynthia Archer
Internal Medicine 19 years experience
Provided original answer
There are many fine Doctors who are well versed in the diagnosis and management of headache. Check out the International Headache Society webpage for more information. Mayo Clinic specifically trains doctors in Headache neurology, so teaching institutions like Mayo are up to date with cutting edge research on the subject. Best of luck!
Sep 29, 2014
Dr. Cynthia Archer
Internal Medicine 19 years experience
Provided original answer
One highly effective way to get rid of a true migraine that has lasted for more than 48 hours is to use a medrol dosepak. Corticosteriods are still the most effective anti-infammatory medications available and it's not possible to be truly allergic to them. The narcotic pain medications I listed are NOT the long term treatment method of choice for frequent migraine. They make the problem worse.
Sep 30, 2014
Dr. Shaym Puppala
Internal Medicine 25 years experience
Rebound or migraine?: A rebound headache is also called a"medication overuse headache,"&occurs, paradoxically, from daily use of "as needed" headache meds like acetaminophen, butalbital,triptans.There is less risk with NSAIDS (eg.naproxen).Individual advice requires appt,&in your specific case,with a Toradol allergy,you would need to clear this with your doctors first. A 2wk headache is very difficult-wishing you well.

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Last updated Nov 14, 2018

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