I'm too new to actually treating migraines to even know what all the medication options are at this point. My neurologist did say something about using blood pressure medication to treat migraines, but my PCP doesn't think my BP is at this point, so she is reluctant to agree with the neurologist. I am, too, since I am very sensitive to pharmaceuticals. I don't know if the neurologist was talking about beta blockers or calcium channel blockers. I'm rather confused about the whole thing at this point.
I just started them, Oct 3 and it is working I think. Wow, I just feel much better. It is Diltiazem cd. Time will tell, but so far so good. I had tried beta blockers, tricycline without success...well maybe the Imipramine helped in my 30's but not anymore.
My BP isn't high but isn't low enough to worry about using this type of medication.
From what I understand-beta blockers don't lower the BP, that is what my GP told me, it is the calcium channel blockers that will lower BP.---I agree it can be confusing. :)
I hope the Calcium Channel Blockers work for you!
I don't think the Beta Blocker is working for me either at this point (we were both on the same one) ... so, maybe I will talk to my neurologist about the possibility of trying a Calcium Channel Blocker for me too. That's good to know though about the Calcium Channel Blockers lowering blood pressure... I don't have low blood pressure, so hopefully the blood pressure thing won't exclude me from trying the medication since my blood pressure isn't very high atm either. We will see what my neurologist says.
Let me know if you start noticing a difference in your migraine pattern! :) Good luck!
Thanks for the response!
If your neurologist does end up putting you on a blood pressure medication, and it turns out to be a Calcium Channel Blocker instead of a Beta Blocker... let me know! I'd be interested in knowing how it went.
It's good that your other doctor is airing on the side of caution when it comes to prescribing things... always best to prescribe medications that overlap with other conditions so if you don't have a blood pressure problem then yeah, blood pressure meds might not be the best choice atm until you have tried some other things maybe.
Neurologists will sometimes prescribe blood pressure meds even if you don't have a blood pressure problem in order to prevent migraines... they just happen to prevent migraines in people, regardless of blood pressure involvement... it's for other reasons that they help, secondary chemical effects that don't have to do with blood pressure. So, even if you don't have a blood pressure problem, if other preventatives don't work, then it might be worth it to try a blood pressure med if your neurologist thinks its best.. but, you'll know if and when it's time to make that decision.
I agree with Marilee too and what you said, that is better to be cautious and not use more meds than you need to. And that you will know when the time is right for a med.
They tried all the preventatives on me, Imipramine(anti-depressant), Nadolol ( beta blocker) and a few others nothing worked so we thought we had to do something as I have had a migraine now for months---from about the 5th Oct till yesterday I was migraine free with the Diltiazem CD (calcium blocker for blood pressure), so it does help me.
Keep us posted on what your outcome is. :) I hope you find what works and you feel comfortable with.
just a little in put. I am taking propranol 60 mgs twice a day (bp medication) and I am not sure I notice any change, thinking of getting off soon. Hope everyone gets relief from your migraines and soon, I pray we all do. Good luck in your search, as I am still searching.
how long does it take you guys to go off of inderal? how long do you have to taper down? i want to switch to try a calcium blocker, but i am afraid to.
I tried verapamil (on it again at the moment for other reasons now), but it didn't work for a migraine preventative for me. In the past, it caused some tingling, jelly like sensation in my feet but after awhile, my body adjusted to this side effect. I believe it also can contribute to constipation and maybe some dryness of mouth. I also tried Diltia XT, but don't remember the side effects with that one. In case you or others might be interested, here is a list of some other meds doctors & acupuncturists tried for migraines (typically generics when I list a name brand) and some OTCs I've taken for migraines:
Inderal (wheezing with this one)
Nortriptylin (tachycardia with this one)
Depakote & Voltaren combo (hair loss with this one)
Prozac (nightmare 2 weeks of migraine waiting to start the next thing after this didn't help enough)
Serzone (worked the longest of any preventative for me, but eventually lost effectiveness in preventing migraines for me)
Indomethacin for mense/PMS
Topamax (made me shaky, highly nervous and gave me a change in sound of voice)
Tamoxifen for mense- doctor had theory I had estrogen dominance
Effexor- stopped after three days due to nasty side effects
Melatonin- actually seemed to give me a headache
Botox- didn't stop the monstrous menstrual migraine, but did stop my eyebrows pretty much from moving
Relafen twice a day
Imitrex- injections only twice (horrible abdominal cramps second time), pills, and even tried nasal spray- but accidentally squirted eye and had horrible flavor when drained down throat, so quit the spray
Phenergan (migraine and nausea)
Zofran (supposed to help nausea, but didn't help mine)
Nubain (tachy with this one)
Orudis (tachy with this one)
Aleve (didn't work and had to wait 12 hours before taking something else!)
Extra strength Tylenol
Fiorcet with and without codeine- took both ways
Cafergot (heard someone raving about it on the radio, so got it prescribed for me, tried one, didn't help, tried a second one- still didn't help and got the shakes
Cayenne pepper drink- if you haven't already, don't try this one!
Emetrol (for nausea)
Feverfew (high dose prescribed by acupuncturist/herbalist proved too much)
Gravol (in Canada for nausea)- learned this was dramamine in the U.S. and took that too
Coptis Purgefire by HealthConcerns- (prescribed by acupuncturist/herbalist helped migraines for a time, but has high natural estrogen and probably made my endometriosis grow more, besides my hair)