Thursday, August 29, 2013
Back to the Drawing Board
However, in her late 20s, her migraines started happening more and more frequently. She started taking compounds containing acetaminophen, hydrocodone, oxycodone, butalbital, caffeine, aspirin, and ibuprofen with some relief. She now takes multiple medications a day including a daily triptan. Despite trying everything, she currently suffers a constant debilitating headache present when she wakes up in the morning. She gets some relief from her medications but never enough. She also has nausea, difficulty concentrating, and irritability. Her vital signs and neurologic exam are normal.
Challenge: She asks if she has a brain tumor or if you have another medication or why her migraines have gotten so bad. What do you say?
Image of Fioricet is in the public domain, from Wikipedia.