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Avatar universal

Chronic Migraine; Is there in-patient treatment?

I have had a migraine for the past 11.  The onset was the birth of my second child on 12/5/05.  The delivery was uneventful, with exception to having postpartum elevated blood pressure and unilateral success of the epidural (left side numb, right side no affect).  The conclusion from the professionals I have seen is that I have a history of migraine headaches and the delivery was just a trigger.  
I tried BP meds and narcotics the first two months and then moved on to migraine and anti-seizure medications.  I have had a MRI, CT scan, spinal tap, a sleep study(all within normal limits).  Cleveland Clinic on 5/10/06 and saw Dr. Kriegler and had a 5 hour infusion; by that time I had gotten myself addicted to ibuprofen to assist with pain management.  After I left the Clinic I had a DHE pain pack for 9 days; at the end of which I had about 6 hours pain free. That was the first and last time I have been pain free in the last 11 months.  I am currently on 200 mg of Topamax and 120 mg of Cymbalta.   I recently weaned off Lyrica which helped manage my pain due to the adverse event of weight gain.  On 11/20/06 I had Botox for the first time which appears to have decreased the pain somewhat but did not eliminate it totally.  
My question: Is there an in-patient treatment for migraine?  A sort of in-patient protocol to utilize steroids and/or pain meds to shut down the brain and then restart it again?  This has been going on for so long and the pain has been so constant; at times I feel I am going crazy and there doesn
12 Responses
Avatar universal
First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.
   There is a "In-patient" protocol for IV infusion in severe migraine (also called 'status migranosus').  This in-patient protocol these days is more often administered in outpatient IV infusion suites (same medications given for the same amount of time, usually 3-5 days of IV infusions).  The protocol can vary based on your headache type, but generally consists of DHE, magnesium, depakote, kytril, benadryl given daily.  Sometimes medications such as solumedrol and zyprexa or seroquel are also added.  Unfortunately if your are taking the ibprofen or other pain medication twice per week they can cause rebound headaches, that cannot be cured by cocktails-only by stopping the medications.  Some patients need 3-5 days of infusions allow them to get off their pain medication.  Dr. Kriegler is an excellent doctor, and will be able to arrange the best IV infusions for you (there is an IV infusion suite in the CCF headache center).
I hope this has been helpful.
Avatar universal
I have been going to Lisa Mannix since October 2006, who was recommended by the Cleveland Clinic.  It is just such a slow process after a year of constant pain.
Avatar universal
I have had a nerve block, Dr. Mannix did it but it only affect the back of the head and it doesn't last very long.  I have a LOT of tension in my head and shoulders.  I can't even tell I had the botox in my shoulders.  The pain is worse on the right but at this point is bilateral.
Avatar universal
Diamond Headache Clinic is the greatest.  I have been going there for many years and they start by having you inpatient if you are seriously in pain.  You do not have to be in-patient.  It depends on the amount of medication you are taking, or if you require IV medication, or how decide what you need I am sure.

I am just saying they do inpatient in St James Hospital in Chicago also.
Avatar universal
Thanks you SO much for this valuable information; I just looked up the Diamond Clinic and have already learned so much.  Thank you, thank you!!!!  I actually have relatives in Chicago so I will have them check it out in person, thanks again.
Avatar universal
I have gotten migranes since I was in 7th grade.  I had tried many different types of migranes meds with no povail until after the birth of my first child.  I had pre-eclampsia with him and afterwards the high bp stayed the dr put me on lopressor.  Low and behold I no longer had migranes.  If I don't take my medicine on a regular bases I will get a migrane and they are horrible for me.  I get dizzy, vomit, very sensitive to noise, sound and light, I slur my speech and just can't think.  I now take atenolol which just like lopressor but as my Dr said on of the side effects of these drugs are that they suppress migranes now who wouldn't want a side effect like that?
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