Did you know that many migraineurs avoid treating their attacks with triptans (about 46% of the time) despite experiencing significantly more disability when they avoid taking triptans than when they do. This finding was presented at the American Headache Society conference held in June 2017, and is probably not a big news to me. Of course, many people suffering from recurring migraines don’t always take triptans-these medications are expensive, there is hesitation due to medication overuse (rebound), and there is a fear of running out before the month is over (and that’s excluding all those for who triptans don’t work or are contraindicated).
Although insurance coverage and/or formulary restrictions may be playing a big role in non-adherence, the current situation is not that bad as before many triptans became generic, when most insurers limited the number of allowable pills (which they’ll cover) each month. You won’t find a single person say that they get higher number of generic triptan than any name-brand drug.
Can I get more triptans if I choose generic over name-brand?
“People feel so desperate when they wake up in the middle of the night with a screaming headache, and instead of taking medicine, they lay helplessly in bed trying to sleep for hours. You’ll be surprised to see how many patients wait to see how bad it’s going to be before they try to take medicine. It’s like hoping it won’t go as bad as it did the last 40 times.”
Triptans cost a lot of money and there’s a limit on the number you get each month. Using this supply too early in the month means a risk of getting stuck with that horrendous migraine and not being in a position to treat it. There is also a BIG RISK of medication overuse (rebound) headache everywhere you turn. There are TONS of side effects. So you need to be very careful about taking triptans. Take it only when its absolutely necessary.
Some people may be trying to somehow avoid a condition called “post-drome” where the patient, on taking triptan, may move from feeling of pain to a feeling of unease or sleepiness. Mostly postdrome follows pain phase of any migraine attack whether or not you’re taking triptan or not. Taking your triptan and quickly jumping to postdrome is much preferred than waiting through the pain phase for hours to get there.
I hope I’ve covered my topic!