After having gone a few years with very few migraines, it seems as if the cosmic karma is rebounding. I wrote three months ago1 on whether the weather can cause migraines, and since then I've had a few bad migraines and many 'light' ones. I went to my GP shortly after that bad migraine and received a referral to a specialist; finally I had my appointment today.
Unfortunately his speech wasn't that clear and he also didn't give me much of a chance to talk, so in one sense I left the clinic slightly disappointed. I have now a new prophylactic medication, Depalept, that whilst primarily being a medication used for epilepsy, it can also be used for preventing migraines. The doctor explained that it has to be shown that three different prophylactic treatments were tried before the powers that be will grant permission for the new medications such as CGRP inhibitors, because of the expense. The first - and very unsuccessful medication - was propanolol, a beta blocker, that totally wiped me out when I tried it 15-20 years ago; I lasted four days with it. Since then I've been taking amitriptyline and now Depalept will be the new preventive treatment.
I also have new pills for taking after the migraine hits. Apparently sumatridex can cause rebound headaches if it is taken more than twice a week, and unfortunately over the past few weeks I've taken it frequently. As it happens, I have only half a pill left, and I asked my GP for a new subscription that I was going to fulfil today. The new pill, rizatriptan, is from the same family and I read that while rapid-acting, the pharmacological effect is short-term; the active medication is generally cleared from the system within a few hours, though efficacy against the migraine may last longer. Overuse can cause chronic, daily headaches. The pharmacist said that I can take a second pill after a few hours if the first isn't sufficient, although now I am slightly disturbed by the contradiction between what he said and 'overuse can cause headaches'.
As it happens, on the way to the clinic in Bet Shemesh, a headache started again. It's been bouncing about in my head, the pain never apparently settling in one place, and as usual it is lowering my sense of general well-being. But it's a sufferable pain, and unless it gets much worse, I'm going to leave it be. I have noticed that such headaches lower my level of tolerance towards other people and their shortcomings, but fortunately I don't think that decreased tolerance is going to be a problem today.
I am to start the new regime today and see how I fare, along with keeping a headache diary. I received a referral for a head CT (I did one several years ago that showed nothing but it would be remiss of the doctor not to order one) and have a return appointment in three months' time.
[Edit from later on the same day: The morning was fairly sunny but after 4 pm, it started raining and the weather had changed. Naturally I had a painful migraine but I didn't want to take any triptan pain relief in order to clear my body of them. Unfortunate that the weather had to turn the day of this appointment.]
Internal links
[1] 2045
| Title | Tags | ||
|---|---|---|---|
| 465 | Pharyngitis, Darkness | Health, Van der Graaf Generator | |
| 1595 | Reality Is Broken -- Why Games Make Us Better and How They Can Change the World | Personal, Non-fiction books |
