Back when I was first diagnosed in Western Australia the GP put me on a mixture on Tramodol, ibuprofen and Paracetamol to dull the migraine pain to a level where I could kinda work.
Then the Western Australia neurologist put me onto doxepin an antidepressant which had a several unpleasant side-effects including changing my personality and doping me for 12 hours of the day, but again I could kinda get through my day’s work.
Now I’m in NSW the Canberra consultant neurologist has me on Topomax and Isoptin. These actually do reduce the daily pain more effectively than the Tramodol/ibuprofen/Paracetamol mix and the Doxepin without any of the Doxepin’s deadening side-effects.
However the Topomax and the Isoptin impair my higher brain function. As each day progresses I lose the ability to string together sentences, find the words I need, do any form of mental arithmetic, or any form of multi-tasking. These medications appear to have also taken my ability to block out external noises. I cannot “tune out” the background around me. I cannot write these blog posts or any email if there is conversation or a radio on; if there is any form of noise in the surroundings.
I suspect this may be why my migraines have been triggering so easily in the last couple of months. A few days ago, while bringing washing in off the line, a boy was continually tunelessly whistling at a high-pitch for a number of minutes. The pain made my knees buckle. Mum had to sift through all the background noises to figure out what had affected me. This kid apparently does this so much that everyone else has just tuned him out years ago. I hadn’t encountered him before and apparently my suggestion to remove his larynx wasn’t considered an appropriate or rational response.
It is the incident that got me thinking down this path. I have a follow-up visit with the consultant neurologist at the end of the month. If the Botox injection hasn’t worked by then, I will mention this theory and see if there is a change of medication he can suggest.