He didn't help, or tell you how to deal with rebounds?

Doc

No he did not. My Opthamologist recomended this Neurologist. I went to him for a few years. He would see me once a year (did the biofeedback he suggested). He gave me a quantity of 100 times 12. I had no idea about rebounds at the time. This was over 15 years ago. My son had looked on the internet and told me what he had read about Midrin and rebound headaches. (I had not used a computer at that time.)

I did not realize why my jaw would very often tighten badly as well. I was very upset with this doctor and stopped going to him. Went on withdrawal of all headache meds, including Bufferin and the Midrin. I had terrible headaches for months; but refused to use anything. Eventually, Imitrex came on the market. I had learned the hard way; but they are, as far as I am concerned, a miracle.

Gerry

That's kinda the way I feel about Maxalt. Imitrex didn't do much for me. (I know for some folks it's just the other way around.) The first neuro I went to for migraines said I had rebounds from the Maxalt, and then said (same visit) I had a "status migraine" His solution was to take a low dose of Imitrex for a week (too low to work). It was a week of agony.... AG-GON-NEE! When the 10 days were up, I took some Maxalt, knocked out the headache, and never went back.

I wish Maxalt was generic like Imitrex, though - these are some cussed expensive headaches!

Doc

Doc, I avoid as many generics as possible. I get 50mg's Imitrex and cut them in half. I then take 25mg's at the onset. Once in a while I need a second half; but not often. I had agreed to take the generic so my doctor then could fax my insurance the need for the "brand" name only. The insurance now covers the Imitrex.

I had enough left of the Imitrex so when the generic was prescribed, i was able to continue with Imitrex and a sufficient time elapsed so the doctor could fax the need for "brand" only.

I went off the Midrin and Bufferin, aspirin; anything for headaches, etc. for a few months. The pain was awful; but I was so determined to get these headaches under control and out of anything that might remain "rebound".

Gerry

There are about 8 approved triptans to treat an acute migraine and, if one doesnt help you just try one of the others. Maxalt has a very rapid onset of action but has a high rebound rate so those who tend to have a long headaches or several days of triggers (like a period related migraine0, it may not be a good choice. With any acute treatment, the soon eryou use it the more effective it will be so never hold off taking if you think it is a migraine.

Botox can be an effective preventive choice but does need to be repeated every 3 months to remain effective (sometimes it begins to last for 4 or 5 months). Like all preventive therapies, you can do more than one at a time. Biofeedback was mentioned and is quite effective when prtacticed regularly. Stress managment/relaxation works. All the lifestyle changes- better sleep, daily exercise, regular healthy meals, reduce/eliminate caffeine can all be important. Recent guidelines showed many supplements very effective, including magnesium, riboflavin, feverfew, Coenzyme Q10, and butterbur. Be aggressicve with preventive efforts- it can be so worthwhile!

Best wishes on a good response to the Botox.

That was 5-15-12. I wish that Lisa (Happygeek) had returned to follow-up; I think it would have been useful to others either way.

That was 5-18-12. Since that time (about a year ago, IIRC) Maxalt (rizatriptan) HAS gone generic. A quick search (subject to error) indicates the price per 10 mg pill is around $5 generic vs. $37 brand. Of course prices will vary depending on insurance, pharmacy, etc.

Doc