Posts Tagged ‘migraine medications’

Walk-In Clinics for Migraine Attacks, Pros and Cons

Wednesday, April 17th, 2013


 


 

Walk-in clinics are starting to replace urgent care and ER, and for good reason. Many now treat chronic illnesses like migraines, fibromyalgia, diabetes, and asthma, only without charging exorbitant prices or making you wait for hours. Here are some pros and cons to visiting a walk-in clinic for chronic migraine.

Walk-In Clinics for Migraine Attacks, Pros and Cons- Migravent

Reasons to go to a walk-in for migraines

  • Guaranteed admission in case of emergency migraine attack
  • Many locations in most cities
  • Twenty-four hour service, seven days per week
  • Option to walk in or schedule appointment
  • Most walk-in clinics provide quick service
  • Clear, menu-style pricing
  • Option to pay with cash or insurance benefits
  • Walk-in clinics accept most insurance plans
  • Cheaper than ER or urgent care clinics
  • Migraine medication history and other health records are accessible from all retail clinic locations
  • Practical for people without health insurance or Medicare
  • Retail clinics usually practice evidence-based medicine, including for migraine therapies
  • Many convenient care clinics diagnose and treat chronic illnesses
  • Registered nurse or medical assistant is always on hand
  • Migraine medicine prescriptions can be ordered on line and picked up at the store’s pharmacy
  • Website features full disclosed information on what types of services they provide for migraine patients

Reasons not to go to a walk-in for migraines

  • Hasty consultations may not allow time for much discussion about migraine history or symptoms
  • Walk-in clinics don’t have a doctor on the premises
  • In exchange for convenience, you lose out on the opportunity to build a rapport with a primary care doctor
  • Not all retail clinics treat chronic illness or pain, and treatments offered may be limited
  • Walk-in clinics don’t follow up with patients on migraine medications
  • Quality of care may vary according to the state regulations

Your turn!

What has been your experience with retail clinics like Walgreens for migraine attacks?

Do you have any questions or suggestions?  Please leave your comments below.

Share with your friends!

If you found this article helpful, then please share with your friends, family, and coworkers by email, twitter, or Facebook.

Like this? Read more:

OTC Painkillers- How do they Work, What are the Risks?

Top 25 Natural Migraine Treatments: Vitamins, Minerals, and Herbs

Social Security Disability for Migraine- 5 Tips for Filing

Sources:

10 things walk-in clinics won’t tell you

Retail Clinics: What’s in Store for Health Care

Image courtesy of Steve Snodgrass/Flickr

Twenty Minutes to Prevent a Migraine- Think Fast!

Monday, March 11th, 2013


 


 

“Warning: This head will self-destruct in 20 minutes, and counting…” Does that sum up the typical migraine attack for you?  To prevent a migraine, it’s important to be able to recognize the earliest symptoms, so you can nip it in the bud, because your first twenty minutes are your most crucial in migraine prevention.

 Twenty Minutes to Prevent a Migraine- Think Fast! Migravent

Migraine is a neurological disorder that occurs when your nerve cells are “triggered” into producing symptoms of immense headaches, intense nausea, and dizzying vertigo.

From the moment your nerve cells swing into action, you have about twenty minutes to prevent them from spreading throughout your entire nervous system and initiating a full-fledged migraine attack.

Those first few minutes are your most critical; your only window of opportunity to effectively reduce the severity and duration of a migraine attack is when you first notice the warning symptoms- fatigue, headache, wooziness, queasiness, or brain fog.

That is why some of the most successful migraine treatments are abortive medications that you use during those first few key minutes of a migraine attack.

Which meds should I take?

Prescription migraine medications vary according to their specific action.

In the first twenty minutes: At the very onset of a migraine attack, you have the option of using abortive migraine medications, such as triptans, which are commonly prescribed to people suffering from chronic migraines. These can be helpful for killing a migraine headache immediately…but only if you act fast, during the first twenty minutes or so. Long-term side effects may include brain fog, dizziness, memory loss, and fatigue.

Before the migraine: There are many types of prescription migraine prophylaxis (preventive) medications available on the market which, taken daily, may work to prevent migraines. These may include antidepressants, anticonvulsants, and calcium channel blockers.

As with abortive medications, preventative drugs may also cause harmful side effects which you should discuss with your doctor.

Preventing Migraines with Beta Blockers, Part 2: Warnings and Tips

What else can I do for prevention?

Natural preventive tactics may be just as effective for reducing the number of migraines you get in a month, while also enabling you to take fewer prescription medications.

Natural supplements that affect migraines by promoting neurological health include vitamins such as riboflavin, vitamin B12, and folate.

Also, nutrients such as magnesium, CoQ10, and iron help to sustain chromosomal integrity.

Other helpful natural ingredients include butterbur, turmeric, and vitamin C for proper response to inflammation.

Your turn!

Do you have any questions or suggestions?  Please leave your comments below.

Share with your friends!

If you found this article helpful, then please share with your friends, family, and coworkers by email, Facebook, or Google+.

Like this? Read more:

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Sources:

Act fast at first sign of a migraine
Image(s) courtesy of Danilin/FreeDigitalPhotos.net

Can you read your Migraine Prescriptions? 30 Medical Abbreviations

Tuesday, January 22nd, 2013


 


 

If you take prescription medication for migraines, then it’s important to understand your doctor’s instructions clearly, without any doubt. Knowing how to read “doctor-ese” can sometimes help! Listed are some common abbreviations that physicians use when writing out prescriptions.

Can you read your Migraine Prescriptions? 30 Medical Abbreviations- Migravent

What did he say?

If it seems like your doctor’s orders are in a foreign language, then you’re right. All physicians use Latin and English abbreviations when writing out your prescription meds in shorthand. And they don’t get an A+ for neatness, either.

So if you didn’t take notes during your appointment, then you might find yourself staring at your brand-new prescription pain relievers, thinking, “Now, how often am I supposed to take these?” or, “What am I NOT supposed to take these with?”

Decoding the lingo

If you get chronic migraine headaches often…and I mean a lot…it’s very likely that you’re going to attend a lot of doctor visits feeling under-the-weather, fatigued, slow, and headache-y. So most likely, you didn’t take notes, and you don’t have a translator handy to help you read the Latin instructions on the medicine bottle.

For situations like these, it may help to have a doctor-patient dictionary on hand, for quick reference. Even if you’re only able to decipher a few words regarding your migraine prescription, those few abbreviations may be the ones to jolt your memory.

Please note, if you have any questions about prescription drugs, it is always best to call your pharmacist, nurse, or doctor.

Natural Migraine Remedies Surge with Prescription Drug Deaths

The following list of common medical abbreviations does not constitute medical advice, nor is it meant to serve as an alternative to your physician’s advice. Rather, it may serve as a bridge between you, the patient, and your healthcare providers.

  1. a.c. (ante cibum) – before meals
  2. ad lib. (ad libitum) – use as much as one desires; freely
  3. bis (bis) – twice
  4. b.i.d. (bis in die) – twice daily
  5. cf - with food
  6. gtt(s) (gutta[e]) -drop(s)
  7. h.s. (hora somni) – at bedtime
  8. IM – intramuscularly (by needle, injected into a muscle)
  9. IV – intravenously (by a needle in a vein)
  10. m, min (minimum) – a minimum
  11. mcg – microgram
  12. mg – milligram
  13. noct. (nocte) – at night
  14. non rep. (non repetatur) – no repeats
  15. N.T.E. – not to exceed
  16. p.c. (post cibum) – after meals
  17. prn (pro re nata) – as needed
  18. po (per os) – orally
  19. q.a.d. (quoque alternis die) – every other day
  20. q.a.m. (quaque die ante meridiem) – every day before noon
  21. qd (quaque die) – every day
  22. q.h. (quaque hora) – every hour
  23. q.h.s. (quaque hora somni) – every night at bedtime
  24. s.a. (secundum artum) – use your judgment
  25. sl – sublingually (under the tongue)
  26. s.o.s., si op. sit (si opus sit) – if there is a need
  27. SQ – subcutaneously (by needle, under the skin)
  28. stat (statim) – immediately
  29. tid (ter in die) – three times a day
  30. u.d., ut. dict. (ut dictum) – as directed

Migravent Giveaway

Enter to win a free bottle of Migravent!

Now, through February 10, 2013.  For details, see our Facebook page, or enter here.

Your turn!

Do you have any questions or suggestions?  Please leave your comments below.

Share with your friends!

If you found this article helpful, then please share with your friends, family, and coworkers by email, Facebook, or Google+.

Like this? Read more:

Best for Migraines: Advil or Tylenol?

Migraine Medication Pros and Cons: the Basics

Top 25 Natural Migraine Treatments: Vitamins, Minerals, and Herbs

Source:

Every Patient’s Advocate, PDF

Image(s) courtesy of stockimages/FreeDigitalPhotos.net

Migraine Medication Pros and Cons: the Basics

Monday, December 17th, 2012
Certain migraine medications can help to relieve migraine headaches, prevent migraine attacks, or nip them in the bud. Before starting a new migraine medication plan, it’s important to weigh the pros and cons.
Migraine Medication Pros and Cons: the Basics- Migravent

While there are no medications formulated exclusively for migraine headaches, many patients have successfully decreased migraine attack incidents through the use of various drugs intended for the treatment of other illnesses, such as heart disease, epilepsy, and depression.

However, there are no guarantees when it comes to preventing migraines, save for the fact that some migraine medications may cause harmful side effects which exacerbate symptoms such as painful headache, nausea, and constant fatigue, in addition to posing severe health risks.

Related: Over-the-Counter Migraine Drugs- What are the Risks?

Listed are some of the most popular migraine prophylaxis and pain relief treatments, including their risks and benefits.

OTC migraine pain medications

Example: Tylenol, Advil, Excedrin, aspirin, and naproxen.

Pros: Inexpensive, readily available without prescription, widely accepted.

Cons: Overuse may cause rebound migraine headaches, in addition to damaging the stomach, esophagus, and liver.

Tips: Take with food, use as instructed, and track dosage in migraine diary.

Narcotic pain drugs for migraine

Example: NSAIDs combined with codeine, opioids.

Pros: May provide strong migraine relief where other attempts to treat migraine headaches have failed.

Cons: High risk for overdose, drug dependency, rebound headache, dizziness, and intense drowsiness.

Tips: Use as instructed by physician, resist taking extra doses.

Ergotamine

Example: Cafergot, DHE.
Pros: For migraine patients suffering from nausea, ergots may be taken as a nasal spray.

Cons: Side effects such as nausea and dizziness, and may not be taken if you suffer from heart disease or high blood pressure; also, not the most effective medication for migraines.

Tips: Do not take if you experience hypertension or have a history of heart disease.

Triptans

Example: Sumatriptan, rizatriptan, zolmitriptan.

Pros: High success rate, and may be taken as pill, injection, or nasal spray.

Cons: Potentially hazardous when combined with medications for depression, heart disease, or hypertension.

Tips: Consult your migraine doctor if you currently take medicine for cardiovascular disease, high blood pressure, or depression.

Calcium channel blockers

Example: Verapamil, amlodipine, diltiazem.

Pros: Safe for migraine sufferers with high blood pressure.

Cons: Constipation and decreased heart rate.

Tips: Migraine sufferers who have a history for cardiovascular health problems should consult their doctor before beginning calcium channel blockers as medication for migraines. Also, natural digestive aids should be taken to treat stomach pains and bloating from constipation.

Beta blockers

Example: Acebutolol, bisoprolol, atenolol.

Pros: Safe for migraine sufferers with high blood pressure.

Cons: May not be combined with medications for depression or asthma.

Tips: Migraine patients suffering from severe depression or asthma should seek alternative migraine medications.

Antidepressants

Example: Sertraline, amitryptiline, Buspirone.

Pros: Effective for patients suffering from depression as comorbidity to migraine headaches.

Cons: Effectiveness decreases in time, and may cause fatigue, weight gain, and decreased sex drive.

Tips: Seek professional counseling and experiment with stress reduction techniques, in addition to tracking antidepressant usage with your doctor.

Anti-epileptic medications for migraine

Example: Topamax, Valproate.

Pros: Effective for treating migraine patients with epilepsy or bipolar disorder, and generally high success rate, when compared with other prescription migraine medications.

Cons: Risk for birth defects if taken during pregnancy, plus long-term side effects such as memory loss, fatigue, “brain fog,” and dizziness.

Tips: If taking Topamax for migraines, tell your doctor if you experience side effects such as vertigo, forgetfulness, or constant tiredness that don’t occur with migraine attacks.

Related: Migraines and Epilepsy: 10 Quick Migralepsy Facts

Natural migraine medications

Example: butterbur, magnesium, coenzyme Q10, riboflavin.

Pros: Effectively target migraine triggers and underlying health issues that cause headaches, as opposed to merely treating the symptoms; may be taken safely by most individuals of any age, without the risk for harmful side effects.

Cons: Magnesium sometimes causes constipation. Health benefits from natural supplements for migraines are rarely instant, and may require some time before any change in migraine severity or frequency is noticed.

Tips: Consult your doctor before starting any new migraine treatment, including natural supplements for migraines. Track improvements by using a migraine diary.

Please tell us…

Do you have any questions or suggestions?  Please leave your comments below.

Share with your friends!

If you found this article helpful, then please share with your friends, family, and coworkers by email, Facebook, or Google+.

Like this? Read more:

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Image(s) courtesy of akeeris/FreeDigitalPhotos.net


Over-the-Counter Migraine Drugs- What are the Risks?

Thursday, March 29th, 2012


 


 

Coming soon to a pharmacy near you- migraine medications that can be purchased without a prescription.  Over-the-counter (OTC) migraine drugs are on a list of other prescription medications included in the FDA’s newest proposal regarding nonprescription drugs.

Over-the-Counter Migraine Drugs?  Better be nice to your Pharmacist

OVER-THE-COUNTER MIGRAINE DRUGS? BETTER BE NICE TO YOUR PHARMACIST, Migravent


What are the benefits and risks?

The benefits of making more drugs like migraine treatments available without prescription are obvious- it’s more convenient, easier, and possibly quicker to pop into your local drugstore and pick up a bottle of migraine drugs.  Will it be cheaper?  It’s too soon to say.

But the risks seem to outweigh any possible benefits-

  • Whose job will it be to ensure that patients understand the drug manufacturer’s guidelines?
  • Will pharmacies be held responsible if a migraine headache sufferer overdoses on painkillers due to lack of instruction?
  • Will some sort of insurance be required on behalf of the pharmacist to ensure that such mistakes aren’t made?
  • Where do health insurance companies fit into this equation?
  • With the extent of responsibilities that pharmacists currently have, can they afford to take on the role of drug prescriber, as well?

OVER-THE-COUNTER MIGRAINE DRUGS?  BETTER BE NICE TO YOUR PHARMACIST, migravent

Are Doctors Overprescribing Painkillers for Migraines? Fox News Report

Prevention first, prescriptions later

Whether these new migraine medication changes take place or not, it’s important to do what you can to reduce migraine triggers from the get-go, so that you won’t be overly dependent on prescription drugs.

Here are some tips for dealing with migraine attacks without drugs:

  • Do you log into a migraine diary?
  • Do you recognize all your potential migraine triggers, like food, scents, lights, and weather changes?
  • Do you take daily vitamins and minerals, like magnesium, riboflavin, and coenzyme Q10 for neurological health?
  • Do you incorporate relaxation techniques and low-impact exercise into your daily regimen?
  • Do you participate in a migraine patient forum or support group?

Please tell us…

Do you have any questions or suggestions?  Please leave your comments below.

Share with your friends!

If you found this article helpful, then please share with your friends, family, and coworkers by email, Facebook, or Google+.

Read more about migraine management

Rude Headaches, Ruder Pharmacists- 6 Ways to Avoid Conflict

Sources:

FDA Considers Expanding Definition of Nonprescription Drugs

Images: Ephemeral Scraps

Over-the-Counter Migraine Drugs? Better be nice to your Pharmacist

Wednesday, March 28th, 2012


 


 

Coming soon to a pharmacy near you- migraine medications that can be purchased without a prescription.  Over-the-counter (OTC) migraine drugs are on a list of other prescription medications included in the FDA’s newest proposal regarding nonprescription drugs.

OVER-THE-COUNTER MIGRAINE DRUGS? BETTER BE NICE TO YOUR PHARMACIST, Migravent

What’s on the table?

According to research presented by the FDA, approximately 20% of all patients (migraine headache and other chronic headache patients, for example) never get their prescriptions filled.  Either they don’t have the money to get their meds, or they don’t have insurance coverage.  Time required to visit a doctor is another factor that prevents many people from getting migraine treatments.

The FDA is proposing a plan to make it easier for chronic pain patients to get the medicine they so badly need.  By switching the status of certain migraine drugs from prescription-only to OTC, the FDA hopes to make it easier and cheaper for people to manage their migraines.

OVER-THE-COUNTER MIGRAINE DRUGS? BETTER BE NICE TO YOUR PHARMACIST, Migravent

Which medicines are included?

Drugs that may become available over the counter include medications for migraines, hypertension, asthma, and high cholesterol.  Also under consideration are birth control pills.

While some migraine drugs will make a direct transition to OTC, other medications may require an initial doctor’s prescription, with the option of refilling at any pharmacy thereafter.

“What we are asking is, should there be more flexibility in the concept of nonprescription drugs? Can we broaden the assistance a consumers gets and increase the types of medicines that might be available over-the-counter.” – Janet Woodcock, M.D., director, Center for Drug Evaluation and Research

OVER-THE-COUNTER MIGRAINE DRUGS? BETTER BE NICE TO YOUR PHARMACIST, migravent

Aren’t pharmacists overworked already?

This new proposal will take patient-care responsibilities away from your headache specialist’s office and directly into the lap of your nearest pharmacist.

Here are some important points to consider:

  • Currently, only medicines for conditions that can be self-diagnosed easily are available without prescription.  Cold medicines, headache pain relievers, and antacids are among items that are available over the counter.
  • The FDA wants to expand its list of OTC medicines to include migraine drugs that require monitoring.  The only difference is that pharmacists will be placed in the position of assisting you, the migraine patient, with your drug purchases.
  • Certain migraine medications may be available only after speaking to your pharmacist.  Does that mean that a pharmacist will have the power to refuse certain painkillers?
  • The FDA is suggesting implementing modern-day technologies like pharmacy kiosks and online questionnaires in helping migraine drug users select the right item for their symptoms.  Who will be responsible for helping you make those choices, and ensuring that you understand all drug warnings and restrictions?  Your pharmacist.
  • For millions of chronic migraine, asthma, cholesterol, and hypertension patients, this new FDA proposal will result in less time under the care of a qualified physician, and more time being waited on by a drugstore pharmacist.


Please tell us…

Do you have any questions or suggestions?  Please leave your comments below.

Share with your friends!

If you found this article helpful, then please share with your friends, family, and coworkers by email, Facebook, or Google+.

Read more about migraine medications

Natural Migraine Remedies Surge with Prescription Drug Deaths

Migraine Headache Painkiller Mistakes we sometimes make

Coenzyme Q10 Benefits and Dosage Information

Sources:

FDA Considers Expanding Definition of Nonprescription Drugs

Images: Ephemeral Scraps

Migraine Headache Painkiller Mistakes we sometimes make

Monday, March 12th, 2012


 


 

We’re all aware of the dangers of misusing painkillers for migraine headaches, but how many of us really understand the right and wrong ways of using pain pills?  Here are some common mistakes that people make with their prescription painkillers for migraines and other types of chronic pain, as reported by WebMD, Living with Chronic Pain.

MIGRAINE PAINKILLER MISTAKES WE SOMETIMES MAKE, MIGRAVENT

Err #1: Overdosing on migraine pain pills

Sometimes, your prescribed dose of migraine medications work right away- in ten minutes or less.  Other times, the same dose might seem to do nothing at all.  You tick away the seconds, wait ten more minutes, and then agonize over whether to take another few pain pills or wait it out.

According to Kristen A. Binaso, RPh, spokesperson for the American Pharmacists Association, using more painkillers than prescribed can be disastrous.  Not only will it fail to provide extra relief, as the extra dose of painkillers often reduces the effect of the first dose, but you may overdose.

“This ‘one is good so two must be better’ thing is a common problem,” says Eric R. Haynes, MD, of the Comprehensive Pain Management Partners.  “Patients should follow the instructions their doctor gives.  Ask before leaving the office: Can I take an extra pill if I still hurt?  What is the upper limit for this medication?”

Bottom line: If your painkillers aren’t working as prescribed, notify your migraine doctor right away.  Don’t be tempted to take extra meds without your doctor’s permission.

Err #2: Combining prescription migraine painkillers with OTC migraine painkillers

Again, this goes back to overdosing on pain pills.  Sometimes, migraine patients supplement their prescription painkillers by taking over-the-counter (OTC) painkillers for extra relief, without being familiar with main active ingredients of either.  In many cases, you end up taking the same analgesic such as ibuprofen or acetaminophen twice, and risking serious injury.

Bottom line: Ask your doctor about using OTC migraine pain relievers in addition to prescription medicines.

Err #3: Not telling your doctor about all medications that you’re taking

It’s important to be upfront and honest with your doctor, especially if he’s prescribing pain pills for migraines.  Many painkillers pose harmful drug interactions, and some may reduce their effectiveness.  If you’re taking antidepressants, diabetes drugs, or medicine for hypertension, then your doctor needs to be informed before prescribing pain medication.

Bottom line: Tell your migraine specialist about every single medication that you’re currently taking, even if you think it might be unrelated to migraine meds.

Err #4: Driving under the influence

You might not realize that a certain painkiller may make you sleepy until you try to drive after using it.  Even a drug that is marked “non-drowsy” might produce a lethargic reaction in some.  Keep in mind that driving while sleepy is just as dangerous as driving drunk.

Bottom line: The first time you take a new painkiller, take it at home, and monitor your reaction to it.  Don’t go into the car immediately after using a new migraine painkiller.

Err #5: Sharing migraine meds

Another oft-reported error people sometimes make is to share their pain medications with others.  Your doctor considers several important factors before prescribing your migraine medications, and just because a certain painkiller is safe for you, that doesn’t mean it is harmless for every other migraine patient.  Other people might have underlying health problems, allergies, or current medications that may interact lethally with your painkillers.

Bottom line: Even if somebody tells you that he’s in pain with migraines, don’t give him your prescribed migraine pills. Instead, offer to help him find painkillers with his doctor’s approval.

Err #6: Not consulting in your pharmacist

Your pharmacist is there to help you understand your prescription painkillers- what’s written on the labels, what dose you should be taking, and possible drug interactions.  Many people often forget what their doctor said during the last visit, and neglect to ask the pharmacist.  If you figure that you’ll just “wing it,” then you run the risk of overdosing.

Bottom line: Never rely on your own memory when taking migraine medications.  Keep written instructions from your doctor, or logged into your migraine diary. If you’re ever unsure about dosage information, then ask your doctor or pharmacist.

Err #7: Using meds past the expiration date

After a certain amount of time, drug ingredients start to break down; they become less effective and in some cases, more dangerous for the user.

Bottom line: Check expiration dates regularly, and dispose of expired drugs.

Err #8:  Chopping pills without permission

Believe it or not, the thin line running down the middle of a pill is there for a reason; it instructs you where to cut should you need to take half a dose.  According to Binaso, cutting a pill any other way can be extremely hazardous, particularly if there is no scoring.

Bottom line: Unless your doctor gives you permission to cut a pill in half, don’t.

Please tell us…

Do you currently take prescribed painkillers for migraines, but would like to stop?  What side effects bother you most about your migraine medications?  Have you tried supplementing with natural migraine treatments that don’t cause damaging side effects?

Spread the love…

Please share this article with your friends, family, or anybody you care about!

Read more about migraine medications:

Do you get Cold Feet over Migraines? Could be your Migraine Medication

Epic Fail! Top 10 Migraine Analgesic Errors Doctors Make

Are Doctors Overprescribing Painkillers for Migraines? Fox News Report

Coenzyme Q10 Benefits and Dosage Information

Source:

Pain Medication Mistakes: Overdoses, Side Effects, and More- WebMD

Diagnosing Constant Migraines with a Lumbar Puncture (Spinal Tap) – What to Expect

Friday, March 2nd, 2012


 


 

Before, we discussed diagnosing migraines with a lumbar puncture, or spinal tap- how it’s necessary to eliminate pseudotumor cerebri, which can mimic the trigger migraine headaches.  (See Diagnosing Constant Migraines with a Lumbar Puncture (Spinal Tap) – Why it’s Necessary)  The spinal tap collects cerebrospinal fluids, and detects any underlying neurological disorders that may be causing constant headaches, nausea, and vision problems.

DIAGNOSING CONSTANT MIGRAINES WITH A LUMBAR PUNCTURE (SPINAL TAP) – WHY IT’S NECESSARY, MIGRAVENT.COM

This section will prepare you for taking the spinal tap, and elaborate on some migraine-like aftereffects.

Before the test…

Before you go in for the lumbar puncture:

  • You may have a light meal the morning of the test.
  • Ascertain whether you may take your migraine medications on the day of the test, including any alternative migraine treatments.
  • Bring a copy of your medical records, just in case.
  • Notify your doctor if you are pregnant.
  • Notify your doctor of any medications you are taking, prescription or over-the-counter, including migraine painkillers, or preventative treatments for migraines.
  • Do not take any blood thinners or aspirin for three days before the spinal tap.
  • Directly before the spinal tap, you will be asked to empty your bladder.

During the test…

If you’ve ever had an epidural, then you are already familiar with the basics of this procedure, which usually takes about 30 minutes.

  • The lumbar puncture may be done in your doctor’s office or even in ER.
  • You will be asked to lie on your side with your knees drawn up to your chest, or sit on the edge of a bed with your back bent into a semi-circle position.
  • DIAGNOSING CONSTANT MIGRAINES WITH A LUMBAR PUNCTURE (SPINAL TAP)- WHAT TO EXPECT, MIGRAVENT.COMIf your doctor requests a fluoroscopy, you will instead be asked to lie on your stomach while the needle is inserted into your back, so that the fluoroscopist may take pictures of your spine.
  • Your doctor will clean your lower back and apply a local anesthetic.
  • Next, you will be asked to sit very still while a long needle is inserted into your spine to draw cerebrospinal fluids.
  • You might feel some pain, numbness, tingling, and an electric-type sensation in your legs and midriff. This is a reaction to the needle touching a spinal nerve, and is no cause for alarm.
  • A manometer is then used to measure your cerebrospinal fluid tension, while your doctor checks for any sign of blood or other stimuli in your brain fluids.  Several specimens will be collected and sent for lab work.
  • After the spinal tap, you will be asked to lie down for several hours. You may feel dizzy and tired.
  • You may get migraines, or migraine-like headaches that may last for a few days, in addition to back pain.
  • To relieve headache and back pain, doctors recommend lying flat on your back, but not taking painkillers.
  • If you experience any unusual headaches unlike migraines or symptoms like fever, neck stiffness, or numbness in your lower back, alert the hospital immediately.

After the test…

  • After the spinal tap, you will be asked to lie down for a few hours.
  • You may feel dizzy and tired.
  • You may experience intense headaches similar to migraine afterwards.  Post-procedure headaches may last for a few days.
  • Back pain is also a common aftereffect that may take a few days to go away.
  • To relieve headache and back pain, doctors recommend lying flat on your back until the pain dissipates.
  • At home, you should drink plenty of fluids.
  • If you experience any severe headaches unlike migraines or other symptoms like fever, neck stiffness, or numbness in your lower back, alert the hospital immediately.

DIAGNOSING CONSTANT MIGRAINES WITH A LUMBAR PUNCTURE (SPINAL TAP)- WHAT TO EXPECT, MIGRAVENT.COM

When will I get my results?

Depending on the specific lab test, your results may arrive anytime between two hours and two weeks. If tests are negative, then you should speak to your migraine headache clinic or neurologist about experimenting with alternative cures for migraines, like acupuncture, biofeedback, vitamin therapy for migraines, or herbal supplements.

Please tell us…

Do you suffer from migraines that come once or twice per month, or are your migraine headaches constant?

Would you consider getting a spinal tap to rule out idiopathic intracranial hypertension?

Spread the love…

Please share this article with your friends, family, or anybody you care about!

Read more about migraine prevention:

Top 20 Simple Lifestyle Modifications to Prevent Migraines

4 Headaches that Require Emergency Intervention

Diagnosing Constant Migraines with a Lumbar Puncture (Spinal Tap) – Why it’s Necessary

Sources:

Spinal Tap (Lumbar Puncture)

Diagnosing Constant Migraines with a Lumbar Puncture (Spinal Tap) – Why it’s Necessary

Thursday, March 1st, 2012


 


 

Diagnosing migraines is a process of elimination; before your MD can diagnose migraine, he has to rule out all other scenarios.  Say you’ve had a migraine headache for weeks.  You know you don’t have a brain tumor, at least that’s what the MRI says. You haven’t suffered any brain trauma, haven’t been in a car accident. What other options are there for diagnosing migraines?

DIAGNOSING CONSTANT MIGRAINES WITH A LUMBAR PUNCTURE (SPINAL TAP) – WHY IT’S NECESSARY, MIGRAVENT.COM

One often-overlooked test for diagnosing migraines is the spinal tap, medically known as a lumbar puncture.  A spinal tap collects cerebrospinal fluid from the area around your brain and spinal cord, and uses that information to find the cause of chronic pain symptoms like migraine-like headaches, tinnitus (ear ringing), and muscular soreness.

Why get a spinal tap?

In diagnosing everyday migraines, it’s important to try everything.  If you’ve gone through an exhaustive collection of migraine medications without results, then it might be time to find out if another condition is triggering your headaches.  Your migraine headache might be from pseudotumor cerebri, or idiopathic intracranial hypertension.  And the only way to confirm that is by getting a lumbar puncture.

DIAGNOSING CONSTANT MIGRAINES WITH A LUMBAR PUNCTURE (SPINAL TAP) – WHY IT’S NECESSARY, MIGRAVENT.COM

Pseudotumor cerebri

When cerebrospinal fluids build up and cause pressure in your skull, it creates tumor-like symptoms.  Doctors don’t know exactly what causes this neurological disorder, hence the term “idiopathic” intracranial hypertension.  Pseudotumor cerebri is not a brain tumor, but it feels like one, and it also triggers a migraine attack.

Migraine Headaches and Brain Aneurysms- Learn the Difference

Symptoms of pseudotumor cerebri include:

  • Chronic headache
  • Nausea and vomiting
  • Neck and shoulder pain
  • Tinnitus
  • Painful tingling and numbness in the hands and feet
  • Muscular weakness
  • Myofascial pain
  • Altered sense of smell
  • Confusion
  • Visual impairments
  • Vision loss

DIAGNOSING CONSTANT MIGRAINES WITH A LUMBAR PUNCTURE (SPINAL TAP) – WHY IT’S NECESSARY, MIGRAVENT.COM

Who gets pseudotumor cerebri?

More women than men suffer from pseudotumor cerebri, another common factor it has with migraines.  It also occurs more frequently among the obese, which is not said to influence migraine disorder directly, although numerous studies note a decrease in migraine symptoms when sufferers lose considerable weight.

Should I get a lumbar puncture?

That is for you and your migraine headache specialist to decide.  Before you submit to the test, your doctor will need a complete report of all medications you are taking, particularly blood thinners, if you have any allergies, and if you are pregnant. Your doctor will decide when and where the procedure may be done.

Coming up in part II of Diagnosing Constant Migraines with a Lumbar Puncture (Spinal Tap), we will discuss what to expect before and after the test.

Please tell us…

  • Do you suffer from migraines that come once or twice per month, or are your migraine headaches constant?
  • Would you consider getting a spinal tap to rule out idiopathic intracranial hypertension?

Spread the love…

Please share this article with your friends, family, or anybody you care about!

Read more about migraine prevention:

Top 20 Simple Lifestyle Modifications to Prevent Migraines

4 Headaches that Require Emergency Intervention

Sources:

Pseudotumor cerebri

Spinal Tap (Lumbar Puncture)

Diagnosing Migraines and Headaches With a Spinal Tap


Manage your Migraines from your iPad or iPhone- Five Useful Tips

Thursday, January 19th, 2012


 


 

Did you know that you could keep track of Migraines on your iPhone…that you can make our own custom migraine symptoms app for your iPad?  It’s true!  With very little technical know-how, you can tweak your favorite Apple device to remind you when to take your migraine medications, find the nearest pharmacy in a heartbeat, and stay on top of the latest in chronic pain management.

Tip #1: Make your own app- it’s easy!

Here’s a dilemma- you want to keep up with your favorite migraine blogs from the convenience of your iPhone home screen, but…there’s no app for that!  If only you could just paste an icon onto your home screen that would take you straight to the pages that you use most.  Well, you can, and it’s simple.

Go to your favorite page.

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

Click on the arrow at the bottom of the screen.

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

Now, choose “Add to Home Screen.”

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

You can change the title for the home page here; just remember to keep it short and easy to identify.

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

That’s it!  Now you have a shiny new custom-designed icon on your home page that you can’t get at the iTunes store.  You can use this great trick for any website.  Use it for pages that you use often, or just for something that you want quick access to in case of emergency.  Pretty nifty, huh?

Tip #2: Set up pill reminders!

The iTunes app store offers lots of daily reminders that are inexpensive.  You can track everything from your menstrual period, to your migraine triggers, to your bills.  Sure, you could buy a pill reminder for 99-cents, but why bother?  Your iPhone already came with an excellent calendar, and it’s just humming to remind you to take your migraine medications, vitamins, or to order a new bottle of  herbal supplements!  You don’t have to be a rocket scientist to program it, either.  Here’s how:

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

Go to your calendar.  Click the “+” sign at the top right corner to add an event.  (Question: When did remembering to take your migraine treatment become an event?  Answer: When you found the one that gets rid of your migraines!)

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

Okay.  Type in all the important details, like the name of the migraine remedy, repeat sequence (daily), and the specific times you want to get your reminder.  Steve Jobs must have foreseen that chronic pain patients would need to use this, because he cleverly programmed two alerts to remind you to take your meds; one initial reminder, and then another one, in case you missed the first warning because you were busy beating your head against the wall…

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

And here’s your gentle reminder to take your migraine medicine!

Tip #3: Find free migraine apps on iTunes!

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

iHeadache- The name says it all.  This clever app helps you keep track of your migraine triggers with their innovative migraine headache diary.

10 Clues your should Include in your Headache Diary Today

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

The WebMD iPhone app offers valuable up-to-date medical information in the same practical, easily accessed format as viewed on their website.  Check on the latest in migraine research, painkillers, and chronic pain symptoms.

20 iPad Apps for Migraine Sufferers

Tip #4: Google Map your nearest pharmacies!

Google Maps is another excellent iPhone tool for people who don’t have the time…or the opportunity to run to their desktop every time they need to locate their nearest pain clinic, ER, or 24-hour pharmacy.

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT


If Walgreens is your pharmacy of choice, then store their address in your contacts file.  Google Maps can access any of your contacts from the search bar- Just click on the little blue book icon.

Tip #5: Follow migraine groups on Twitter!

Finally, you don’t like to be in the dark.  24-7, people are talking about things that importantly impact your life; things like Overcoming Social Isolation in Migraine Disorder or 34 Migraine-Inducing, Stomach-Turning Toxic Chemicals in Perfume.

You want to join in on the conversation, and be “in the know,” right?  The best way to do that is to follow them on Twitter.

MANAGE YOUR MIGRAINES FROM YOUR IPAD OR IPHONE- FIVE USEFUL TIPS, MIGRAVENT

Learn more about migraine headaches, migraine awareness, and more:

Why do Migraines cause Nausea and Vomiting?

Killer Migraines Might be Fatal after All- Mortality Rates among Migraine Sufferers

What are the Signs of Migraine Attack? 30 Migraine Symptoms