Sweetz
Diamond Mind
Reged: 05/11/02
Posts: 765
Loc: Texas!
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I have chronic migraines that often get out of control. I've gone into everything I've tried before, so I won't bore you all again. I have ample meds for nausea, including Zofran and Compazine supp., but will be asking my doc for phenergan injectable. I cannot take Imitrex, Maxalt, Zomig, Relpax, etc. for my headaches. I take fioricet or fioricet with codeine and Stadol NS but even those won't stop the cycle sometimes. My worse problem is massive vomitting and dry heaves and then, the headache gets worse, and the cycle stops.
I was wondering if there's other pain meds available from the pharmacy in injectible form. My 18 yr old daughter wants to be a nurse, so she can get some practice. BTW, toradol still does no good. I have to get morphine or demerol (not as effective) to get rid of it for a little while. I know those are not available in injectible form, but was wondering if there's something else out there that I don't know about. I've tried demerol pills, about 30 minutes after a phenergan shot, and they just put a dent in the pain, just like the shot.
Anybody got any new ideas for me?? thanks!
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"If you choose not to decide you still have made a choice."
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SuseCue
Member
Reged: 04/25/04
Posts: 169
Loc: Tampa, FL
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I don't have any personal experience but I have heard of people using Nubian, injectable.
I hope this helps. I never researched myself, just saw peole post about it.
Cami
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Fighting for peace is like screwing for virginity.
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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Hi Sweetz,
I am in the same boat as you. What helps me to a point is a combination of hydro and compazine, but I haven't found anything to take away the heaving and pain completely.
Why not look into those narcotic lollipops? You sound like you could be a good candidate for those. My migraines are generally taken care of with what I am taking already, except for the few times a year when they get really bad, so I have not looked into the pops. Someone on one of the boards was taking them for migraines. If they are still around maybe they could post here and tell their experiences with them.
Good luck.
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yawkaw3
Pooh-Bah
Reged: 03/22/03
Posts: 1193
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Sweetz,
They do make Dilaudid suppositories. That might be something to consider.
-yawkaw
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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I completely empathize with your pain, Sweetz. And we have discussed this issue before. I am SO thankful that my migraine frequency was substantially reduced post-hysterectomy. Demerol injectable was the ONLY really helpful medication for my serious ones. Like you, I have extreme nausea/vomiting/dry heaves with my migraines. Fortunately, mine are so few and far between anymore that my doctor just orders Demerol (150mgs IM with Vistaril) and it usually takes TWO to get it under control. Like you, the migraines typically outlast the narcotics--hence the 2nd injection.
I use Compazine rectal suppositories when an attack starts. This generally helps when I am at home (vs going to the ER) and I make a call to the doc's office or after hours number and they pre-order the Demerol so I don't have to go through the usual ER BS.
As far as home injectable narcotics--my doctor is reticent about this. Perhaps it's due to my hypertension and his desire to rule out uncontrolled blood pressure as the cause of the headache before allowing me the narcotic? If your doc prescribes home injectables, more power to ya!
Good luck in finding a solution.
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Never underestimate the predictability of stupidity.
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Sweetz
Diamond Mind
Reged: 05/11/02
Posts: 765
Loc: Texas!
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I asked the doctor that was present the last time I went for my meds about a standing order to call in to the hospital and he didn't really say much. Just said that it was up to the doctor's discretion. Well, that doesn't help me much, not much at all. So, I'm hoping to time it right when I can go see a different doc at the clinic and I know she's more sympathetic or knowledgable because she always gives me more meds in general.
The only thing I've figured out to do so far, is go to the ER, go through triage and look on my bracelet to see who's on duty. That's the only way to find out if the a-hole doc is there. I know it looks bad, but what else can I do?
Maybe I can get my doc to write a letter and just take it with me when I go? I'm not sure, but I'm going to raise the question again this month, a lot more aggressively this time.
Thanks everyone!
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"If you choose not to decide you still have made a choice."
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lardaman
Banned: flame wars, insults, offending others
Reged: 08/14/02
Posts: 244
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Sweetz, Buey,
I feel for you. I get those bastards 2 or 3 times a year and they virtually lay me up. Only after 3-4 days of dry heaves will it finally pass & there is nothing that will work at this point. I do take codeine & have used zomig b4. I know that I dont have it as bad as you guys at least not most of the time. I do get migraines 2-3 times per week, but can usually push them back with codeine b4 they turn into a full-blown migraine. If that happens or I cant catch it in time, well you know what happens then. I know my experiences cant help you, but I just wanted to let you know that I know how it feels.
Anyhow, I have heard a little about the narcotic lolly's somewhere else on this board, So if anybody knows where someone could find this novelty please let me know.
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PIGINPAIN
Journeyman
Reged: 06/10/04
Posts: 85
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Quote:
Sweetz,
They do make Dilaudid suppositories. That might be something to consider.
-yawkaw
Going on 10 years of migraines. Tigan (trimethobenzamide) injectable works better than all others combined for me. The dilaudid (dihydromorphone) is only available in 3mg strength. I am 6'1'' 250 and 3mg of dilaudid knocks me off my feet for 4-6hrs and puts me to sleep with my worst migraines. dilaudid is approximately 3-8x morphine depending upon tolerance. the serious upside (pun) to the suppository form of dilaudid is that its effects last longer than the injectable. The trick with dilaudid is to find the dose that works and get it everytime (hard to do with different ER docs). If I get three 1mg shots in an hour it doesn't work the same as getting one 3mg, big difference.
good luck
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mammy
Stranger
Reged: 06/08/04
Posts: 1
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I have had migraines since my hysterectomy- 9 years ago. After tracking what brings them on, we have finally figured out two reasons. First is STRESS. My stress compounds in my neck then a migaine/tension headache occurs. The reason we know it is not a typical migraine is that Imetix and all those other vaso-dialators make it worse. I still get the nausea and all other migraine symptoms but it is stress that brings them on. I go to the ER. When they ask you on the pain chart where your pain is, if you say 7 or above, they must treat the pain. Period. I have had good luck with Torodol injectable when I feel one coming on, but usually it is a trip to the ER. Also, a low front, drop in barometric pressure will bring one on as well. Stadol nasal mist is supposed to be the best as far as instant narc relief. I have never tried but a friend says its unreal. BTW, first time poster.
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IMSUSCOT1
Threadhead
Reged: 10/23/02
Posts: 892
Loc: usa
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I'd go for injectible compazine....phenergan is HARD on the veins and even harder when injected IM....it can actually cause internal cysts, phenergan RUINED my veins the last time I was in the hospital....have you tried injectible imitrex yet? If take right when the symptoms start it supposed to aleve 100% of the symptoms....and it's injected usually into the hip or the leg, you could do it yourself...but forget the ijectible phenergan, that stuff is tough! And the ONLY way I got it prescribed for me was to have a PICC line (a peripherally inserted central line) it goes to your right atrium, and hence my veins were spared....I doubt any doc will write for injectible phenergan without a PICC Line in & they're not going to send you home with a PICC line unless you need long term IV meds, in my case it was IV antibiotics that caused horrible nausea....
It was a hassle the whole time, I got septic twice & had to be rehospitalized....I don't think the doc will go for it myself, but that's just my opinion.
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keystone
Veteran
Reged: 09/05/02
Posts: 587
Loc: Arizona, USA
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Tigan suppositories -or- Zofran ODT for nausea and Stadol NS. That is the BEST combo. in my opinion (besides Marinol).
KS
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The greatest trick the devil ever pulled was to convince the world he never existed.
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Quote:
I go to the ER. When they ask you on the pain chart where your pain is, if you say 7 or above, they must treat the pain. Period.
That may be true (if it is, I'm not aware of it), but NOTHING says thay have to treat your pain with narcotics.
Welcome to the board mammy!
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Never underestimate the predictability of stupidity.
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Sweetz
Diamond Mind
Reged: 05/11/02
Posts: 765
Loc: Texas!
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mammy: welcome to the board. I know for a fact several triggers and that stress is a major one for me. I simply cannot do anything else about it. I get my hormone migraine for 5 days a month. I appreciate your input, and I know you'll love it here!
IM1: Injectible Imitrex was one of the first things I tried. This is back in 95 when it was only available in that form. And, you don't have to tell me the Phenergan burns, they burn like all get out! But, that's what the hospital always gives me, almost standard issue now. I don't think my doc now will give me anything that's Sch II. I wondered about asking them about the shots, but I guess I shouldn't. It's actually been a bit better since I had a scope and we've had me on some stomach meds. I think once I started throwing up, it may have worsened by my aggitated stomach. He also widened the area so I can swallow without food getting stuck.
Keystone, I agree with you, but I still have migraines that don't go away with the suppositories and Stadol NS. It's the vomitting that aggrevates the pain, and vice versa. I get highly distressed when in that state for too long. Sometimes even 3 hours is too long for me. I have water to drink when I get to the "point of no return" just so I save a little effort on my stomache with the spasms.
Night Shade: I know what you mean. One doc just looks at me and gives me Toradol (gives me a headache, so obviously doesn't help migraine) and a script for Esgic Plus. Esgic plus is a step BELOW the fioricet with codeine I usually take. Stupid doctor.
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"If you choose not to decide you still have made a choice."
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