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Ask the Clinician: 11/24/03, Answer #6

by Teri Robert
for About.com

Updated: November 24, 2003

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Ask the Clinician
Question: Please help. I am no longer able to function. I am currently 27 years old. My migraines began around age 11. Due to my age at the time, the only medication I was able to use was an over the counter medicine called "COPE". By the time I was 13 years old and in full puberty mode cope was taken off the market, and my OB Specialist began to prescribe Fiorinal w/Codeine. Over the years that was my only option in partial/temporary relief . . .
Answer:

Alicia,
     A specialist is exactly what you need. There are so many medications and combinations of medications being used for Migraine prevention these days that it would be virtually impossible for you to have tried them all. No, preventives don't work for every Migraineur, but the odds are on your side.
     The other thing that's exceptionally important in cases such as yours where there are multiple medical issues is that all of your doctors need to be willing to consult and work together as a team for your health, and you need to be a part of that team. Research your conditions, ask questions of your doctors. Keep a good journal of your Migraines and other symptoms. You didn't mention what your Migraine triggers are. If you don't know, that's something you can investigate by journaling.
     There's a link to our list of recommended doctors at the bottom of this page.

Best of luck,
Teri Robert
(Answer reviewed by Dr. Krusz)

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