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,...

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...

Acupuncture and Headache

There have now been a number of ‘placebo-controlled’ trials of acupuncture for headache patients.  The placebo is done utilizing ‘sham’ acupuncture.  Unfortunately, the majority of the trials have failed to demonstrate efficacy for acupuncture...

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