Thanks Vic!
Has anyone seen or heard of significant complications arising as a result of
untreated migraine? I'm thinking in particular of migrainous infarction but
it must be rare as hen's teeth (and I see most of the literature out there
groups migraine in with all the other "benign" causes of headache). Don't
suppose there's any evidence surrounding prevention of such complications
either although one might argue that triptans should in theory be more
specific at aborting the vasospasm.
AF
----- Original Message -----
From: "Vic" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, July 28, 2006 7:55 PM
Subject: Re: Migraine/Triptan therapy
I suffer from Migraine occasionally and make sure I carry a triptan around
in the car, in my bag, at home, and on holiday. I find I have 20 minutes
from the start of the right inferotemporal scintillating scotoma to the
onset of the headache and a triptan aborts it completely if taken at that
stage. Now I know lots of people react differently so this is just personal
experience but I know it has helped others.
I really suffered as a kid, but basically I was bullied by big brother (some
of you know him - he's in medicine too). My migraines resolved largely when
I realised at the age of seven that I could win the fight if I kicked him in
the gonads (Stress relief, empowerment etc). I started with migraines again
as a GP, then read the label of this new Red Bull drink I'd taken a fancy
to. Then a few years ago I started having daily migraines. I was actually
having one when a young lad came in with his mother. He was getting
migraines too. Mum asked if I had a list of things he shouldn't eat and I
went on Google to find one. I found this
http://altmedicine.about.com/od/popularhealthdiets/a/migrainediet.htm
I had started having banana smoothies for breakfast. If I don't have more
than three bananas a week I'm fine. I've given the printout to hundreds of
patients now and they almost all report that the migraines get a lot less
frequent. As for the others - they just have to learn to kick the bugger in
the balls!
Vic Calland
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Adrian Fogarty
Sent: 28 July 2006 07:47
To: [log in to unmask]
Subject: Migraine/Triptan therapy
What is the accepted wisdom on the management of acute migraine these days?
Do most people stick with the tried-and-tested methods of analgesia,
anti-emetics and fluids? Or do many of you now use triptans, and if so, in
which particular patients or perhaps as a routine? Am finding it very
difficult to find any good evidence or consensus on this particular
question. Any advice gratefully received.
AF
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