Part 1 of Women's Wellness Wednesday discussed prophylactic medications used to prevent migraines. Since these are not 100% effective there is still a need to have a medication to treat the migraine once you feel one coming on. Below is a list of medications with FDA approved indications or "off-label" use for migraine treatment. This post is informative only and your actual treatment options must be a collaboration between you and your doctor.
Excedrin (OTC) - Available in store brand for cheaper prices. Also available in an aspirin free formula.
Midrin (isometheptene/dichoralphenazone/APAP) - up to 8 capsules daily as needed. Not always covered by insurance. The best deals can be found using the SearchRx or Max SaveRx discount cards. Always compare the discount prices with your insurance copay, your insurance isn't always the best deal.
Fioricet (butalbital/caffeine/apap) - available in capsules and tablets with and without codeine. 1-2 every 4 hours with a max of 6 per day. Tablets are almost always cheaper with the The best deals can be found using the SearchRx or Max SaveRx discount cards. Always compare the discount prices with your insurance copay, your insurance isn't always the best deal.
Cafergot (ergotamine/caffeine) - Super expensive so this is really only an option with insurance. If you have to have it though the best deals can be found using the SearchRx or Max SaveRx discount cards.
Triptans: usually the first line treatment to abort a migraine. Each person responds differently so if one doesn't work for you ask to try another until you find one that does. These are best taken at the first sign (aura) of a migraine coming on. Many insurances limit how many of these you can get each month. Many limits are set to 9 tablets a month.
Imitrex (sumatriptan) - available as nasal spray, injections, or oral tablets. The oldest and cheapest of the triptans. #9 of the 100mg tablets is a scant $15.95 via Blink Health. Plus your first fill is $15 off with my exclusive offer. Price reduction is reflected in the cart. The other formulations are must more expensive.
Frova (frovatriptan) - Newly generic and insanely expensive at several hundred dollars for only 6 tablets still.
Relpax (eletriptan) - Brand only but has a $4 copay card. Save up to $150 per month.
Amerge (naratriptan) - #9 of the 2.5mg tablets is only 52.59 via Blink Health which is the best discounted price. Plus your first fill is $15 off with my exclusive offer. Price reduction is reflected in the cart.
Zomig (zolmitriptan) - available as a nasal spray (brand only), tablets, and orally disintegrating tablets (ODT). Save up to $50 on Zomig nasal spray or up to $25 on tablets or ODT. Generic tablets and ODT are available for somewhat reasonable prices if you don't have insurance. Blink Health has #6 5mg tablets for $61.30 which is a savings of 84% while the ODT is twice the price via Blink. Max SaveRx discount card has the best discounted price for the ODT which is approximately the same price as the regular tablets. so if you get severe nausea from your migraine that is the way to go.
Treximet - $25 copay card . No registration required. No max listed but I'm sure one applies.
Cambia - $20 copay card. Save up to $90 per prescription