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brandnewday

Lapsed Senior Member
Joined
Aug 27, 2013
Posts
116
I suffer from horrific migraines. Sometimes I can go awhile without 'rescue' meds (i.e. percocet or norco) but when a migraine comes on, I am in no condition to drive. Now that doctors cannot call in prescriptions, I am in a pinch.

One of the meds I also use is Stadol NS but I am not keen on the side effects. However, the doctor can call this in! It's not a true opiate, it's an antagonist (sp...might have this wrong, but you know what I mean). Ironic because I read it is just as habit forming and dangerous as an opiate....but whatever.

Is there another drug that is strong like an opiate but something a doctor can call in so if I am having a migraine I don't have to drive all the way in? I just changed neurologists and my new one is 30 mins away. My previous one was 10 mins away but I had to drop them for poor service.

thanks all.
PS: I already take fioricet without codeine when I get tension headaches, I am looking for a rescue drug that is impactful like stadol. Stadol is excellent but sometimes it gives me body aches that are pretty uncomfortable (but better than migraine most of the time).
 

John5555

Senior member
Joined
Jul 29, 2012
Posts
185
I don't know any that are non-script but I did find out from my doctor that I cant take Migraine meds with some of my pain meds. Bad reactions are possible. The non-script stuff I have tried does not work at all.
 

H20shed65

Famous PRer
Joined
Apr 27, 2012
Posts
12,090
I suffer from horrific migraines. Sometimes I can go awhile without 'rescue' meds (i.e. percocet or norco) but when a migraine comes on, I am in no condition to drive. Now that doctors cannot call in prescriptions, I am in a pinch.

One of the meds I also use is Stadol NS but I am not keen on the side effects. However, the doctor can call this in! It's not a true opiate, it's an antagonist (sp...might have this wrong, but you know what I mean). Ironic because I read it is just as habit forming and dangerous as an opiate....but whatever.

Is there another drug that is strong like an opiate but something a doctor can call in so if I am having a migraine I don't have to drive all the way in? I just changed neurologists and my new one is 30 mins away. My previous one was 10 mins away but I had to drop them for poor service.

thanks all.
PS: I already take fioricet without codeine when I get tension headaches, I am looking for a rescue drug that is impactful like stadol. Stadol is excellent but sometimes it gives me body aches that are pretty uncomfortable (but better than migraine most of the time).

If Stadol is effective, Buprenorphine , a CIII drug, may be equally effective, although I do not think this is clinically indicated for Migraine. Although I think there is only one company currently making an analgesic with Dihydrocodeine here in the US, this is still a CIII drug when combined with other Analgesics. The last formulation I can remember was Synalgos-DC, which if I recall correctly, was a "back pocket" drug for migraine.

Good Luck~
 

ladyhurting

Distinguished member
Joined
Jun 22, 2012
Posts
589
@brandnewday - there is Fioricet #3 and Fiorinal #3 (both have codeine phosphate 30mg in the formulation) along with the Triptans (i.e. Imitrex, Sumatriptan, Maxalt). Imitrex comes in the form of tablet, nasal spray and subcutaneous injection (and works quickest in me).

According to my online query, Fioricet #3 and Fiorinal #3 are CS-III. Codeine phosphate is an opiate and the human body metabolizes it into morphine. It requires a prescription, and if dispensed in the USA it will show up in a state's PMP because it is CS-III. But it IS effective for nasty migraine headaches. There is a new formulation of Fioricet #3 (NOT exempt) with 300mg of Tylenol, 50mg of butalbital, 40mg of caffeine and 30mg of codeine phosphate. It requires a prescription, but a physician or NP prescriber can phone or FAX it to a pharmacy (unlike hydrocodone).

Good luck! I hope your physician addresses your migraine pain.
 
Last edited:

Bawston

Eminent member
Joined
Jan 23, 2015
Posts
1,294
Since you've just changed neurologists, you probably haven't developed a good relationship yet, but possibly after you get to know each other, the new doctor might be willing to give you a small supply of rescue meds to keep on hand for the debilitating migraines. I suffer from severe migraines that used to be very frequent but have tried Botox injections with excellent success. I used to have 2-3 severe migraines lasting at least 2 days each per month, and since getting the injections, I get maybe 1 one-day migraine very 3 months or so. It doesn't work for everyone but maybe something to try.
 

cookiegirl

Lapsed Senior Member
Joined
May 12, 2014
Posts
97
I take the generic imitrex, but have to treat them as gold, only if a migraine is very bad. I only get 9 pills per month. I suffer also from weather related migraines along with regular migraines. My neuro gave me Topiramax, to help prevent migraines. BUT....I found out after taking a week (EEK!) that it makes the Pill ineffective (scream again). Plus whilst I was taking it, foods were sour, and my diet cola went flat in my mouth and tasted like nothing too. I got off of the Topiramx asap.
 

Alicenwonderland

Eminent member
Joined
Oct 13, 2013
Posts
1,042
I take Relpax for migraines. They are expensive like the Imatrex even with insurance. That has always been called in for me.
 

Lilone

Distinguished member
Joined
May 12, 2014
Posts
710
@ccokiegirl - why is it we only get 9 imitrex at a time?! I treat mine like gold too!
 

White Lotus

New member
Joined
Feb 19, 2015
Posts
3
I suffer from horrific migraines. Sometimes I can go awhile without 'rescue' meds (i.e. percocet or norco) but when a migraine comes on, I am in no condition to drive. Now that doctors cannot call in prescriptions, I am in a pinch.

One of the meds I also use is Stadol NS but I am not keen on the side effects. However, the doctor can call this in! It's not a true opiate, it's an antagonist (sp...might have this wrong, but you know what I mean). Ironic because I read it is just as habit forming and dangerous as an opiate....but whatever.

Is there another drug that is strong like an opiate but something a doctor can call in so if I am having a migraine I don't have to drive all the way in? I just changed neurologists and my new one is 30 mins away. My previous one was 10 mins away but I had to drop them for poor service.

thanks all.
PS: I already take fioricet without codeine when I get tension headaches, I am looking for a rescue drug that is impactful like stadol. Stadol is excellent but sometimes it gives me body aches that are pretty uncomfortable (but better than migraine most of the time).

First post here, from long-time lurker.

I also suffered for years from chronic migraines - at their worst, I was literally suffering 2-3 per week (remnants of a failed boxing career :) ) I went through many different migraine meds - Ercaf, Imitrex... you name it, I tried it. They were all like putting a band-aid on a gaping wound.

I went to a specialist that put me on Depakote (an anti-seizure med), a daily dose, for roughly 2 years. My migraines eventually reduced to roughly 3-4 per year! I was able to taper off of the Depakote, now I don't need it. He also prescribed me Tramadol as a rescue med, but the real blessing was the Depakote.

Maybe you can investigate this treatment? Just a thought. My prayers & kind thoughts to you - chronic migraines or horrible!
 

akiro

Lapsed Senior Member
Joined
May 18, 2014
Posts
107
Hi @White Lotus
I have a friend who suffers from Epilepsy. I did a bit of research on that and discovered that there are several similarities between epilepsy and migraines. I suffer from migraines. The brain shows the same hyper-excitability in certain areas...and there is a sensitivity to light, etc. Interesting I thought and also could explain why anti seizure medications could work on migraines. I'll have to ask my GP about that!
 

JackRyan

Distinguished member
Joined
Jun 22, 2011
Posts
655
I think it would be best to discuss this with your doctor; after all wouldn't they be the one calling the prescription in?
 

Denise44

Senior member
Joined
Jul 23, 2014
Posts
188
I've had a lot of different things called in for migraine: steroid dose pack, toradol, reglan, tramadol. The dose pack worked the best. I have a small rescue supply of Percocet, but if it doesn't work, it's time to try something else that isn't an opiate.
 

brandnewday

Lapsed Senior Member
Joined
Aug 27, 2013
Posts
116
Thank you all.

Checking back in. Good news/bad news.

The third round of botox plus my new preventative, propanolol, seems to have reduced the overall # of migraines. My triptans I cycle are maxalt and injectable imitrex.

I have found that I get about 10 migraines a month, and maxalt is not helping. I take 10mg up to 3 pills a day. been to the ER three times.

My new neuro does not like to prescribe percocet as a rescue which is fine, because as I mentioned in my original post, it's a huge hassle to drive all the way out there to get a written script anyway. I do get Stadol NS as a last resort but it is not ideal unless I am going to bed, and then, I get crappy sleep but at least no migraine.

The thing is, they can call the Stadol NS in.

So my original question is the same - but maybe Stadol is the only thing -- that is, a drug they can call in but I don't have to drive to pick it up, because I only need these to avoid going to the ER.

I see my neuro again in a couple of weeks to address it, but would be interested in having a few options.

I am also going to try Frova as a new triptan. She gave me samples and they worked pretty good, but my insurance said they would not cover them and it was $300+ for 9 pills. After dozens of calls and running around, it turns out they WILL cover it (we shall see) and I need to try another prescription.

I also try fioricet and have plenty on hand, but I find those only work for tension type headaches that I feel are a risk to turn into migraine.
 

chera

Distinguished member
Joined
May 5, 2011
Posts
993
Imitrex is what helps me, but you must take it as soon as you feel the migraine coming on. Best of luck!
@Lilone Imitrex is a very good alternative to Stadol for pain associated with migraines. In fact, I used to have it prescribed many years ago. However, I would caution anyone with high blood pressure to please be careful taking Imitrex, as it can cause your blood pressure to be raised significantly. I've never used Stadol, so I'm not sure if it has this same effect or not?
 

ThisIsMyBoss

Member
Joined
Feb 22, 2015
Posts
31
Fiorinal, it's like you are asking the doctors for poison.

6-7 years ago, I asked my neurologist if I could have some Fiorinal for an occasional tension headache.
He says, "that's pretty powerful stuff". He gave me a prescription for 3, that's right 3 pills, with 1 refill for
another 3 pills.

My mother needs Fiorinal. Our family doctor used to give her enough pills to get by but the last few years
he stopped giving her Fiorinal. He recently retired and another doctor took over for him. On our second
visit, we decided to ask for some Fiorinal, BANG. She give my mother a prescription for 15 pills plus 1 refill.
She is so so happy to have access to Fiorinal again.
 

WiseCue

Distinguished member
Joined
Oct 5, 2013
Posts
581
I know this must be something that everyone has tried: Excedrin. Plain generic Excedrine. Every time I start getting an aura, or a little bit of pain in the usual places, I take two. If nothing gets better in an hour I take two more. This therapy works best if I also relax, and if I've not eaten, eat a little. I did't use it for most of my life because I dismissed it as not being strong enough. Now 3/4 of my migraines just stop.

As for the ones that don't stop, I've never had anything work, so I suffer through it. :(
 

brandnewday

Lapsed Senior Member
Joined
Aug 27, 2013
Posts
116
I get horrible rebounds from anything in the exedrin family. Thank you though, I am willing to try anything!
 
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