Thursday, July 14, 2011

What Do You Think?

Not sure but I think I'm cheating on my meds today. What do you think?

Here's the thing. My headache doc has instructed me to not take more than 9 of my rescue triptans per month. He says that the preventative meds can't work if I'm overusing the rescue. Not that the preventatives have managed to prevent anything, but that's beside the point. I've committed to his plan and have been following it to the letter.

Yesterday I knew fairly early on in the day that a migraine was inevitable but, as always, I needed to determine if I was going to treat this one or call my body's bluff and try to make it through the day with just Tylenol (which might as well be a M&M for all the good it does). I decided to call my bluff and not treat it. Unfortunately, I made the wrong decision as yesterday's migraine turned out to be super bad. It was somewhere around 4pm when I finally broke down and took my triptan but of course by then I was all kinds of nauseous and in more pain than even the triptan could get on top of.

After about 3 hours the worst of the pain has gone down. As expected the triptan wasn't enough but at least the pain was tolerable and bedtime was only a few hours away so I decided to see what a good night's sleep could do for the migraine. Waking up with the same pain that I went to bed with was pretty disappointing. With the whole day ahead of me I was fearful that today would take the same path as yesterday so I decided to go ahead and take another triptan.

Here's where things get tricky. You see I'm allowed to take up to 2 triptans within a 24 hour period and if I do that, those two triptans only count as one because I'm treating 1 migraine day. Since I took yesterday's triptan around 4pm and I woke up about 6am I figured I can count today's triptan as part of yesterday's as they were taken so close together and I really was treating the same migraine that I never got on top of yesterday.

I've never taken this approach before. Usually I just count each day as 24 hours no matter what and rarely do I take more than one triptan in a day. I've already taken 5 triptans this month and I don't want to take a 6th (though technically I did) as that would only leave me with 3 for the rest of the month and I will likely need more than that when my period comes.

What do you think? Is this fuzzy math on my part? Am I trying to justify breaking the rules or is this a reasonable argument?