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Medical Forum / Diseases and Disorders / Arthritis / March 2008Migrain drug interactions
I don't get migraines often and they are usually not severe, just occasionally. More to the point of the moment, I get migraines without headaches occasionally. For the third time ever, about noon today, I suddenly got an aura, a crescent shaped visual disturbance with jagged patterns. The other two times I had this happen I didn't know what it was and it dissipated after a while. This time it came on suddenly and was accompanied by other sensations that I have learned to recognize as meaning to head for the medicine cabinet. My problem was that since I have been taking methotrexate for a couple of years I have not had this happen and I didn't know which of the two medicines I keep on hand might interfere. I have Maxalt and fiorinol. If I get it just coming on the Maxalt will usually stop it cold, otherwise a fiorinol or two will just put me nicely to sleep and I will usually wake up in an hour or two feeling great. So I called the rheumy who, it turned out, had gone to lunch early and wouldn't be back until 2 and did I want to talk to the nurse? Well, yes I did and that took some ten minutes before she realized what the problem was and did I want to talk to the doctor on call? Well yes, and by this time the call had taken some fifteen minutes while I was standing there with the aura sparkling all around and dreaded migraine bearing down on me like a locomotive. So, of course, the line went dead. Rather than go through it all again I took the Maxalt and went to bed. In an hour or so the aura had vanished and the headache seemed to be no longer threatening so I got on the trusty computer and started looking for drug interactions. From what I could find on Medline, after registering for the site, the Maxalt was the better choice, there being some sort of problem with fiorinol and methotrexate although it is dosage related and the problem seems to come in at higher dosages. So all is well, except, does anyone happen to know about this matter of migraine medications and arthritis medications or know a good general source of information? My migraines sound the same as yours, aura first and if not caught in time, the headache, etc. I would suggest asking a pharmacist about the drug interactions and the best thing to use in your case. They often are good sources of information. Ann Are these what are called ocular migraines? Also, if you start getting ocular migraines, will you eventually get regular migraines? . . . . Donna . . . . 1.) ANGELS EXIST, but some times, since they don't all have wings, we call them FRIENDS...... 2.) J.K.M.A. Are these what are called ocular migraines? Also, if you start getting ocular migraines, will you eventually get regular migraines? ***yes. they are called ocular migraines. i get them, too and have since i was in my twenties. btw, ocular migraines are caused by a restriction of blood vessels in the eyes. i'm a little confused by your second question, donnag, so i'll answer it two ways: if you start to get "an" ocular migraine, it doesn't necessarily mean that a headache will follow that particular episode. if you episodically/occassionally get ocular migraines, there's a good likelihood that at least some of these episodes will result in headaches. kate . . . . Donna . . . . 1.) ANGELS EXIST, but some times, since they don't all have wings, we call them FRIENDS...... 2.) J.K.M.A. > Are these what are called ocular migraines? > [quoted text clipped - 16 lines] > if you episodically/occassionally get ocular migraines, there's a good > likelihood that at least some of these episodes will result in headaches. Apparently there are a lot of people who get various symptoms of migraine and do not get the headaches. I have had auras before without any headache and in retrospect I have had some of the other common symptoms such as a feeling of unreality or being somehow not quite in the world, which is hard to describe but for which there is a Latinate name. If you just get the aura and do not get the headache there is apparently nothing to worry about, it is just a problem if you want to drive or read a book. What happened to me yesterday was that the aura came on with the other symptoms and quite quickly, which left me feeling like a guy in the middle of the train tracks. When I taught school, on the other hand, it took me a long time to recognize the onset and that often led to conflict with staff or students so I learned just to declare to the front office that I was getting one and leaving. They didn't like it but they found it pointless to argue. For me the giveaway symptom was that someone would say something to me like, "Where is the paper?" and it would take a while to figure out what that meant and by the time I figured that out someone would be saying something else that I couldn't quite figure out either. It is really funny to recall because you probably seem to be such an idiot looking puzzled over the simple question of a little child who is, as likely as not, clinging to your leg and wanting something. My mom gets ocular migraines that are much milder - flashing lights on the periphery of her vision for a few seconds. She doesn't even feel te ned to pull over when/if it happens while driving. She was assured by the docs that it won't lead to full-blown headache-type migraines. My sister and I both get the latter infrequently, though it's been quite a wile since I've had one. (crossing my fingers....)  SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare > Are these what are called ocular migraines? > [quoted text clipped - 30 lines] > > 2.) J.K.M.A. On Thu, 13 Mar 2008 0:16:41 -0500, Pope Pie \(Sy Lehrman\) wrote (in message <dN2Cj.47174$kp6.14733@newsfe07.phx>): > So all is well, except, does anyone happen to know about this matter of > migraine medications and arthritis medications or know a good general source > of information? Pharmacists tend to be faster and possibly more reliable sources of drug interaction info. I say call your pharmacist. SignatureNann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare My heart goes out to you! I used to get migraines, but wasn't on so much medication then. Also, I had a chiropractor who managed to stop the migraines. I haven't had one for years (looking for wood to knock on). Hang in there. I think I'd call the pharmacist. LOTS less people to get through before you talk with the person who knows. My pharmacist is always available right away. Feel better - DeeTee >I don't get migraines often and they are usually not severe, just >occasionally. More to the point of the moment, I get migraines without [quoted text clipped - 29 lines] > migraine medications and arthritis medications or know a good general > source of information?
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