and another one

I almost forgot to record it, but last Saturday, 11th July I woke up with another bad one. Naproxen and paracetamol together, which gave some relief once, failed this time. So I sat it out, literally, and by Sunday morning it had faced to manageable proportions.

Amitriptyline Update

Last Sunday was my first bad migraine since going onto Amitriptyline in early June. This is progress and I can probably cope with one a month if that's how it stays.

My husband points out that in the week before Sunday, feeling confident and craving fruit, I started eating apples and strawberries again and after a couple of days without ill effects overdosed (as he puts it) on nectarines.

I'm off fruit again for now but maybe an apple a day would be a more sensible approach!

Back on amitriptyline

After a clear week on Propranolol, I suffered a series of what I first thought were classic migraines (4 in two days) but these had very little headache associated. I went back to the doctor and he took me off Propranolol (visual disturbance and headache are amongst the listed side effects!) and re-sold me on amitriptyline which is now well accepted as a successful migraine prophylactic.

Being about to go on holiday and in need of sleeping better this was quite welcome. So, I'm back on 10mg amitripyline at night, sleeping well, but have had two common migraines since starting the course on May 26th. These seem to be reduce in intensity by a combination of Naproxen and Paracetamol.

Apparently it will take a few weeks before any improvement can be expected. The downside so far; dopy mornings feeling unsafe to drive, but this I'm told will wear off.

Decision time

I decided I could not start taking the Topiramate yet. If the Propranolol I took a few years ago stopped working because my use of Solpadiene simultaneously reduced its potency (as the consultant had told me) then I should try Propanolol again now that I'm off the codeine. My GP was happy to agree with me and so I started a course of propranolol on May 15th. So far so good...

An undeserved hangover

We went to a smashing 65th Birthday Party in the village on Saturday night complete with large bonfire and  fireworks.  Plenty of food and wine, although as always I was the only teetotaller in the room.  This is never a problem for me; I don't need alcohol to get merry, but I often suffer the following morning with a hangover worse than my husband's.  Sunday morning was no exception and a full-blown common migraine erupted in the early hours.  We had family coming for Sunday lunch, so lying down in a darkened room was not an option: it had to be fought.  Naproxen proved useless again and really upset my stomach.  Could it have been triggered by  party-food or elation? Neither explanation would be acceptable, but maybe the few spoonfuls of chili on an otherwise bland plateful was a mistake.

It lasted through Sunday night and all-day Monday (spent in a darkened room) despite another go with a Naproxen and Omniprazole taken together early in the day.  It's shadow was still there on Tuesday morning but by lunchtime I was back to normal.

A pair of classics, and then...

I had a relatively manageable classic migraine on Monday, took a Naproxen, felt better, but suffered stomach pains such that I decided Naproxen was no longer a good idea.

Today's classic stopped my going out this morning because I decided to take nothing stronger than paracetamol. I was feeling almost normal by the evening and we went out for an enjoyable Chinese.

During Thursday night I felt strange and by Friday morning had a full-blown common migraine of the sort that has followed Chinese food in the past. I had to take something so doubled up the ulcer treatment and took a Naproxen, apparently without relief. During the afternoon it became manageable and we went out to the cinema in the evening as planned. So, not as bad as in the past, but by most counts, 3 in a week.

Another one

Yesterday I woke up the headache and numb arm and decided to take one of the naproxen.  It worked well for about 2 hours and then the headache returned with a vengeance.  I'm allowed 3 a day if I double the ulcer treatment while I'm taking them but I decided to stop at one and tough it out.  The day was not as bad as the last migraine day, and while I slept OK last night, the "dagger" part of the headache was still there this morning.  So I took another naproxen and things eased sufficiently to allow a trip to the supermarket in the morning.  These painkillers are better than nothing and if they don't kill the headache they certainly kill the ever-present arthritis pains!

If I get another inside 10 days I'll need to think seriously about starting the topiramate.