this post was submitted on 01 Aug 2023
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Oh no!
If you are not puking:
Water with electrolytes, dried cherries, and also sex with orgasm (or close to it) can help. A hot bath with ice cold cloths for your head.
But "status migraine" like that, for me at least, always involved so much vomiting that it got dangerous, has only happened maybe 6 times in the 40 years I have gotten occasional migraine, and has never stopped without emergency treatment. Heavy doses of opioids and promethazine, by injection, then sleep, is the only thing that really worked (the drugs don't really break it just put you far enough away that you can stop.) This treatment worked every time for me but is no longer available. Now the protocol is some cocktail of liquid, electrolytes, Reglan, ibuprofen, and Benadryl. Which is slow and doesn't really work but can stop the vomiting and make it less intense at least, and prevent the serious consequences of dehydration.
Fortunately I haven't been puking, but got pretty close. I'm mostly recovered now but I'll have to keep that in mind. The doctor set me up on a round of prednisone and that seems to be knocking it.
I've only had these kinds of migraines a handful of times and fortunately they've gone away on their own, though I had one that was like 10 days (which I know because it made me break down and download a migraine tracker). That was brutal. Figured after that one, and seeing that this one was taking its time I decided to call the doc, though I might just try the ER next time to see if they can do something even quicker.