Yesterday I had an acute migraine. I treated it with a triptan. It half-assed worked. The pain came back for the second round of kick ass. I threw my hands up and said ‘you win’ and went to bed.
Round two: I woke up with a migraine hangover from yesterday which really when you look at that on a pain scale was like a 4 but my neck was killing me because it had hurt so much the day before. Still, I thought I could manage quite well at this stage as long as I avoided any triggers.
Then I did my housecleaning which is part of my assigned routine. I was finishing the bathtub I started yesterday I did the tub, now I needed to do the walls. Can’t do both at once with my nerve damaged hand and my weak FM arms. It’s a two-day event. So I used the same cleaner. And BAM an acute migraine, rapid onset. I can’t use the triptan again cause that will aggravate me side effect wise. I have no figured out a way to use the Toradol shot yet that will not feel like some is using my stomach for kickboxing practice. So I used my tramacet. On a migraine that is what I would say was about an 8 going on 9 at the end there… that is not even close to adequate. So there went the rest of my day. I couldn’t do anything.
It was just one of those days where you think I am on the end of a migraine or the cusp of one… so if I’m very careful I might maintain it. And then some trigger just screws you over.
So two acute and not very well managed migraines in two days. Not even moderate migraines. I just got over my hormonal status migraine so it sort of pisses me off but what can you do? It happens. I have good cleaning products that never trigger a migraine… just the bathtub was Dirty and that requires stronger stuff because my arms are too weak for really good scrubbing, what I did was quite enough. That product was too strong for me. And it was also too damn light. Just too light.
Point is this: I have not had a migraine free day in a very long time. These meds are not working at all. And I am getting a lot of acute migraines, also a bad sign. But they do work on my migraine auras… not the persistent migraine aura, but something anyway. I need a change, but just I think an increase in Topamax which worked well in the past. Verapamil does nothing really for me, so that can be taken out for all I care but if so it might muck up the vertigo and aura… so it depends what replaces it really. Lyrica I like for FM, but for migraines it does nothing, so it depends really on whether the neuro thinks it is necessary or not. I personally think Topamax as primary, maybe a calcium channel blocker of a different sort as secondary and if there another that works for MAV and persistent migraine auras that don’t conflict add that in too.