05 February 2009

Headache WIN

Chronic Headache patient in the ER with her typical, frequent, severe migraine headache:

"Doctor, the only thing that ever works for me is Toradol and Reglan!  Can you give me that, please?"

Yes! (Victorious fist pump)

Forty minutes later, the patient leaves, comfortable and happy.

13 comments:

Bianca Castafiore said...

In the hospital recently, I was having bad joint/bone pain but didn't want any more opiates (they're not great on that type of pain for me -- the best thing, usually, is ibuprofen!). The doctor had me try Toradol and it was *fantastically* effective. So tell me why, why, why, when I finally find it, does it have to be the drug that cannot be used on a regular basis? Grrr.

Chris said...

Toradol for bad headaches rocks!! I've had it before, and you can keep all the narcotic crap - all it does is make me nauseous, woozy, and it doesn't help the pain. I have no idea what it is about those drugs that people enjoy - apparently I'm missing something.......

Brian and Jennifer said...

how awesome!

i tell my patients who demand narcotics to let me try a few things my way first, and then do the toradol/reglan thing, and most of the time, it works fantastically!

Susan said...

My friend who has suffered with migraines for years and has done all of the typical meds with various results has now found relief. She gets botox injections q 3 months at specific points on her head. A local neurologist does it.

Kipper said...

Surely it can't be that unusual for someone to want real relief and not just a fix.

Steve said...

Whaaat??? I had the same patient today, but she was allergic to toradol, reglan, and compazine. She was not, however, allergic to dilaudid.

Anonymous said...

I understand why tordol works, but what does the Reglan do? Is that just to treat the associated nausea?

-lpnmon (who only sees the migraneurs that get admitted, after all that stuff has been tried)

little d, S.N. said...

~claps~ I love it when things go right!

Anonymous said...

I dread showing up with a migraine (on the weekend) that I can't get rid of - even after extra neurontin, 30mg reglan, 500mg naprosyn, migranal and caffeine. Toradol's hit-or-miss for the bad headaches.

Not all of us are out for a fix.

Anonymous said...

I used to give myself toradol in the ass before imitrex. It works but it takes a while when give im, about 2 hours I found.

physasst said...

I've been using a combination of IV fluids, Oxygen, and Valproic Acid. The Valproic Acid particularly seems to be VERY effective for migraine treatment. I rarely use opiates. Only occasionally, and then only after exhausting other treatment options. (DHE, Toradol, Compazine, etc.etc.etc.)

chuckr44 said...

I've only used hydrocodone for some rather large boils (baseball size). It tended to make me a bit sleepy. So I don't really want narcotics anyway because of that.

Anonymous said...

I have had severe migraines with aura since age 11, I am now 44. Went to ER many times up to age of 25 and demerol would knock me out. Have been on Relpax for more years than I can count and it was a miracle drug - no more dreaded ER. However, in the last 6 months it seems to be much less or not at all effective. Last night went to ER with the worst migraine since age 22, and they gave me toradol, reglan and Benedryl. Within 15 minutes I felt 90% better, and it didn't render me unconscious. For me, it was a much more effective and tolerable treatment than the narcotics of years past.