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zomig rapimelt

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Q: Migraine Advice Please.?
Does anyone know if there is a herbal tea that can be taken (to reduce migraine attacks). For a 14 year old boy.

Or any other natural remedies that anyone knows of.

Also will any remedies or herbal teas affect the drug `ZOMIG RAPIMELT TABLETS.

Thanks

A: I have LOTS of personal experience with migraines. I see a neurologist who specializes in migraines, and this doctor advises all patients not to drink ANY type of tea (even herbal). I thought the no tea rule had to do with caffeine, so I figured herbal tea would be ok since it doesn’t contain tea, but herbs. Over a year ago, I began drinking herbal teas and had the WORST migraines! So, this may have just applied to me, but it is interesting my neurologist counsels patients against drinking it as well.

I’ve used Zomig with very successful results. I don’t know about drug interactions, so I’m not going to suggest any natural remedies you ingest because I don’t know about possible interactions.

However, here are some natural rememedies you CAN do. First of all, if you’re not already, a daily headache journal needs to be kept. In a headache journal what is eaten, general description of what is done that day (i.e. school, stressful test today, no homework so I watched tv, etc), any headache/migraine activity, duration of headache/migraine, and medications taken. This can seem really tedious to do every day. It is really helpful to keep this journal and then you can use it to help try and spot patterns that may be migraine triggers. The journal is also great to take along to doctors appointments.

When a migraine occurs, turn OFF the tv, computer, radio, etc. Lay down in a dark, cool, quiet room. An ice pack can be placed on the back of the neck and/or on top of where the migraine pain is occurring. Accupressure can be helpful. The “brain” point on the feet is the top part of the big toe, and on the hand is the top part of the thumbs. Push in the spot with your nail or the tip of a ball point pen. Massage can also be helpful. Have another massage the feet, hands, or neck/shoulders/back (if tense in that area).

**The key to zomig is to take it when you FIRST feel a migraine coming on. If you wait until you have a full-blown migraine, zomig can’t fight your brain in a full-blown migraine. You’re not going to get pain control if you wait until you have a full-blown migraine or are in tons of pain.

I hope some of this helps!

Q: Help with migraines?
My son is now 14 years old & from the age of 5 has suffered with severe migraines, (violently sick, extreme pain, confusion ect.) He has taken different medication, but nothing has worked.

He has just been prescribed Zomig Rapimelt Tablets, and these arent working either. Ive just spoken to the doctor and she has prescribed the Zomig in nasal form.

I too suffer with migraine, so now exactly how he feels.

He has so much time off school because of them,(he is also getting headaches in between).

Can anyone give me some advice, Im really concerned that this is going to affect his gsce`s.

Thank you

A: You could get him to try and write a headache diary. It might help you spot a trigger, which will in turn lessen you migraine attacks if you avoid them. This is the best way to minimise your migraine attack.

Whenever you have a migraine, write down the day, date, time, what you have eaten for that day, how long the migraine has lapsed, the pain score (from 1-10, 1 being the least), emotional factor (what was mood, were you feeling depressed, angry or stressed?), what medication have you taken to lessen the pain, and the pain score after the medication.

From there, you might be able to spot patterns like certain food triggers your migraine, or certain days eg mondays because you are in a rush so you didn’t eat breakfast thus lack of food therefore migraine.

What about time? Are you in a very hot or cold place at a particular time? That could trigger migraines. Fluctuating weather and temperature could also trigger migraine. A change in season too. Some people can predict weather by their offset in migraines.

What about stress? Some people get migraine when they are extremely stressful, especially during examination periods, year end job review and so on… That could easily set off a migraine attack…

Why not you try keeping a headache diary for a month. Then try to spot patterns. From there, see if you can make changes in your lifestyle and hopefully reduce migraine in your life.

You could also try preventative medications. You can try preventative medications like topamax or beta blockers like proprananolol or tricyclic like amitriptyline, these are the more common drugs use to prevent migraines.

There are some off label use of botox which worked for some (botox could last about 3-6 months depends on a personal basis).

When your son has an attack, he can try over the counter medications like paracetamol, aspirin or presciption medication like ultracet, oxcodone, vicodin as well as temporary relief nerve blocks for people who have a migraine attack (where preventatives are quite useless).

Lastly, before a migraine start, he would have a prodrome. Do he have a particular food craving or mood swings? Yawning, fatigue, excessive sleeping are also some symptoms. Some people have diarrhea or constipation as well…

During a prodrome, try taking metoclopramide, it might reduces the migraine or even prevent it.

Talk to his neurologist and discuss his options with her. She will be able to help you go through all your options base on his medical history.

Q: Is amitriptyline a triptan?
I’ve recently been prescribed amitriptyline for my migraines. My doctor has also prescribed me Zomig Rapimelt, to take when a migraine strikes. The pamphlet in the Zomig box mentions not taking Zomig if one has taken a triptan in the past 24hours. I am wondering if I am safe to take my Zomig since I last took my amitriptyline not even 24 hours ago.

I’d just rather be safe than sorry. And since both drugs are relatively new to me, the more information I can gather about them, the better.

A: i wouldn’t just to be on the safe side,especially if it says not to. i would call your local pharmacy and ask the pharmacist if its ok to mix the two, or if you can get ahold of your doc then ask him/her.

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