Rebound (Withdrawl) Headache

Rebound occurs when a drug is used, or overused, and causes a headache later on, or the next day.  The medicines that contain higher amounts of caffeine (such as Excedrin) are more likely to induce rebound.  This is a murky area, as many patients are told that they...

Newer Triptans

Several new triptans (Imitrex-type meds) have come on the market in the past year and a half;  Axert (almotriptan) came out 1.5 years ago, and more recently Frova.  There are pluses and minuses to each. Axert is relatively mild, with very few chest symptoms;  it is...

Weight Gain and Headache Meds

A recent study investigated this important subject;  even if a headache med. works, nobody is happy if they gain 30lb.  Surprisingly, Prozac topped the list of weight gainers;  even more than the tricyclic nortryptylline.  Depakote did, as we know, cause weight gain,...

Depakote ER 250mg

Depakote ER, Extended Release tablets, are now available in 250mg tablets, as well as 500. 500mg of the ER is approx. equal to 400 of the regular Depakote, but is longer-lasting. The 250mg tabls help with flexibility in dosing.

Cost of Botox

The cost of Botox, unfortunately, just went up.. from about $390 per 100unit vial to approx $417 a vial. The cost of Botox does limit it’s use;  the average patient now recieves 50 to 100 units per treatment.  In the earlier days, we used lower doses.  I do...

Sansert No Longer Available

Novartis Pharmaceuticals announced Dec. 2002 that Sansert (methysergide) is no longer going to be available in the United States.  This will create problems for those who have found that the only preventative med that is effective is Sansert.  With most discontinued...

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