by Dr Robbins | Jan 17, 2017 | Adolescents and Children, Headache Drugs, Migraine
WHAT IS KRATOM?:Kratom is from the(same name) Indonesian tree; the leaves contain the active substances that, for centuries, people have used(and abused). In the US, Kratom has grown in use, but it’s legal status is iffy; the DEA(Ug 2016) issued a letter with...
by Dr Robbins | Jan 15, 2017 | Adolescents and Children, Headache Drugs, Migraine, Miscellaneous
Some miscellaneous rantings: DRUG PRICES: In the U.S., looney tunes; take DHE: this useful med has been around since 1945(very few bad side effects since then), used SQ at home, or in office, like a triptan…works for many when nothing else does….DHE used...
by Dr Robbins | Dec 31, 2016 | Adolescents and Children, Headache Drugs, Migraine, Miscellaneous
I consistently see medication overuse headache(MOH) conflated and confused with medication overuse(MO); however we want to define MO(say, 11+ days of analgesic use per month, or…11+ days of butalbital/opioid/triptan use per month or….), that does NOT mean...
by Dr Robbins | Dec 25, 2016 | Adolescents and Children, Headache Drugs, Migraine
Some interesting newer studies: 1.A study of older(60+, average age 71) headache patients indicated that peripheral nerve blocks(mostly occipital nerve blocks, and some others) given weekly for 4 weeks works pretty well for the chronic migraine. We need studies on...