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Blog Thread 4; Live Free or Blog Hard - 'cos we all like blogging

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ankhtahr:
Hoo. Novalgin is pretty strong.

Akima: I sincerely doubt they'll do anything besides giving me a prescription for painkillers. Both of my parents have those migraines, luckily I get them relatively rarely. My mother had them at least every two weeks. My father around monthly. For me it's every three months if I'm lucky. With my mother it has been reduced to the same frequency as with me, when she was given a NARI, a noradrenaline reuptake inhibitor. Sadly that was an off-label use for that medication, and since it has been found ineffective for it's original purpose the health insurance won't pay for it anymore and she can't afford to buy it herself.

For migraines I usually relied on "Aspirin Migräne", in which the acetylsalicylic acid is buffered, because it would otherwise lead to stomach aches. The normal dose (also according to the leaflet) is 1 gram. If I take that early enough I'll manage to avoid the whole migraine. If I don't take it early enough it'll just help with the pain, which will then hold on for around two or three days. But Aspirin is a NSAID, and I'm not supposed to take those now. From what I've read basically my only option now is Paracetamol, and I know that at least on my mother's side of the family allergies against it are common. I never tried Paracetamol because of that.

hedgie:

--- Quote from: Gareth on 22 Sep 2014, 06:06 ---
--- Quote from: hedgie on 20 Sep 2014, 08:42 ---Wait, you're from the UK and *don't* drink like a school of fish.  I am now officially bewildered.

--- End quote ---

Not sure how I feel about this, joke or otherwise.

--- End quote ---
Okay, I'll start off by apologising to all the UK crowd, for implying that the whole country is filled with drunkards.  I don't think that's actually the case, but I think that there is a cultural difference, that is totally *my* fault for typing what I did.  The US doesn't generally (I've actually spent time in more places out of this country than in it, and some of the places I have lived in the US are different than what's common.  I plead ignorance, your honour).  Where I live, at least right now, most people walk quickly past the bar/pub/club, and there's a frequent reaction of people passing very quickly by, if they see anyone standing outside, and that people who frequent such places are either drunks, or, in the last case, kids partying away all their parents' money.

Depending on where one lives, IME, much of Europe has a much stronger pub culture, where it's basically the place where you want to see your mates, or meet strangers, but don't have plans to go anywhere more interesting.  Much of the US is more puritanical, since we have counties that don't even really allow booze, to places where there are strict "Blue Laws", where people are discouraged from having any fun because of religious fundamentalism.  There is also a stereotype of pubs here being full of violent people (bikers, sailors on shore-leave, etc), and even casual drinking isn't as culturally accepted.  I've, via some osmosis, seen my fair share of the bad shite that many people think goes along with drinking culture. 

I honestly prefer the way it was when I was in the UK, and nobody would judge you for ordering a couple of pints (real pints, mind you, not those shitty American ones) with lunch.

Aimless:

--- Quote from: ankhtahr on 22 Sep 2014, 16:08 ---Akima: I sincerely doubt they'll do anything besides giving me a prescription for painkillers.
--- End quote ---

Your doctor may potentially be able to do at least two useful things for you in this situation.

1. Assess whether or not it might be okay for you to take some form of NSAID in the event of a migraine attack anyway by looking at your other meds to see why they may be inappropriate to combine with NSAIDs. If, for example, the combination may lead to a dramatic change in the concentrations of your other medicines, an NSAID may be very inappropriate. If, on the other hand, the risk consists of a marginally increased risk of getting a bleeding ulcer, one or two doses of eg. aspirin or some other NSAID may be perfectly acceptable, esp. in combination with something to protect the stomach. Your doctor may help you clear this up.

2. Assess whether or not you may be a candidate for some other form of migraine-specific emergency meds such as a triptan (many different kinds and formulations, eg. spray). If your headaches have been determined to be pure migraines (rather than some other form of headache) and your blood-pressure's okay and you don't have an extremely high dose of any meds that may theoretically interact with triptans then it may be worth asking your doctor. It's a reasonable request: you need to know what you can do in the event of a severe migraine attack.

If your migraines aren't too severe and come infrequently to boot, or if you know that they have a strong musculoskeletal component, then you could probably do without the above. I can't say any more, not least because half the drugs regularly prescribed in Germany are banned in Sweden due to our patients' weaker constitutions :x :D Novalgin being one example of many.

ankhtahr:
I am pretty sure that it's a real migraine. It has the classical symptoms of a migraine. First Aura, then headache with nausea, light and sound sensitivity. My mother had it diagnosed, and I know that even my great grandmother had very strong migraine attacks. She used to lock herself into a darkened room with a bucket for vomiting.

Aimless:
In that case it def. wouldn't hurt to ask your doctor about migraine-specific meds such as a triptan spray or one of those tablets that just melt in your mouth and may or may not taste horrible :o :)

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