Panic Attacks, Migraines, GERD

[Anonymous]

Anyone else's teen have this combo? What worked for your child?

[Anonymous]

Not panic attacks, but night terrors for my DD. GERD since birth, and some anxiety. Is your DD having all of these at the same time, during panic attack? Or do they happen separately? For my DD, Prevacid for GERD, everyday. If she is very upset during the day(could look similar to panic attack, crying, overwhelmed...) she usually ends up with a migraine at night. Often 800mg of Ibuprofen will help, sleeping with me, head on the pillow. For really bad migraine and luckily only she needed it once, her pediatrician allowed me to give her my sumatriptan.

[Anonymous]

Using Prevacid every day makes gerd worse.

Op, has your child been tested for celiac?

Are you medicating for anxiety? I would look into this pronto.

[Anonymous]

Go to a neurologist. I have bad migraines. Some anxiety meds can treat migraines (none worked for me but they are a standard preventative). If she's tried several standard migrane preventatives, they have a few new ones out that are monthly shots though they are kinda hard to get ahold of still (I started one last month and it doesn't fix it but it helps). Nexium for reflux but you may want a GI.

Ibuprofen does nothing for a true migrane. You need a triptan.

[Anonymous]

Anonymous wrote:Using Prevacid every day makes gerd worse.

Op, has your child been tested for celiac?

Are you medicating for anxiety? I would look into this pronto.

Why is Prevacid bad for GERD?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Using Prevacid every day makes gerd worse.

Op, has your child been tested for celiac?

Are you medicating for anxiety? I would look into this pronto.

Why is Prevacid bad for GERD?

Its not, Nexium works better. Go to a GI if it is that bad.

[Anonymous]

Read up and do yoyr research on Prevacid and link to bone loss and osteoperosis

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Using Prevacid every day makes gerd worse.

Op, has your child been tested for celiac?

Are you medicating for anxiety? I would look into this pronto.

Why is Prevacid bad for GERD?

Its not, Nexium works better. Go to a GI if it is that bad.

All heartburn medication makes stomach acids worse with long term use:
https://www.npr.org/templates/story/story.php?storyId=112564382

[Anonymous]

OP here.

Neuro scripted Topamax, Fioricet. My insurance denied whatever abortive med he req'd. I guess we will be picking another one?

Since she has panic attacks and we are going to see a Psychiatrist, I am hoping the neuro would script her daily Prozac, low dose. I would like to get her off Topamax. She's only been on it 4 days and its such a serious drug. She is definitely fighting side effects.

[Anonymous]

OP again. DD is 17.

[Anonymous]

OP, all the drugs they use as preventatives are pretty serious drugs. That one has some pretty serious side effects. There is a new class of drugs out that are shots - Aimovig, Ajoy or something like that and another one that were just released BUT you have to go through the old style standard preventatives first so give them a try for a few weeks and see what happens. What was the one he asked for? It goes help some.

Why did he do Fioricet vs. a triptan? A triptan is much safer.

[Anonymous]

Amytriptilyne as a preventive works pretty good for my migraines. I don't have any side effects, really small dose daily at night.

[Anonymous]

The three migraine preventatives are all bad. Topimax is most likely going to cause bad cognitive side effects. The only thing that will change her life is being able to take a triptan (Sumatriptan 100 mg) at the first sign of a migraine starting. It will relieve ALL pain within 1-2 hours. I also wear the Cefaly device every night for 20 minutes which cut my migraines in half. No side effects, but you need a prescription from your neurologist to buy it. I’m getting ready to try the Aimovig preventative shots too. Good luck!

[Anonymous]

Get her tested for food allergies ASAP.

[Anonymous]

Anonymous wrote:Go to a neurologist. I have bad migraines. Some anxiety meds can treat migraines (none worked for me but they are a standard preventative). If she's tried several standard migrane preventatives, they have a few new ones out that are monthly shots though they are kinda hard to get ahold of still (I started one last month and it doesn't fix it but it helps). Nexium for reflux but you may want a GI.

Ibuprofen does nothing for a true migrane. You need a triptan.

Not true. Sometimes Ibuprofen on its own is effective as an abortifacient for actual migraines, both for children and adults. This has been studied in the research (some meta-analyses linked below).

Sometimes overuse of NSAIDs like Ibuprofen for migraines makes them less effective, or there can be some migraines that need something else. Neither means Ibuprofen doesn't ever work for true migraines.

Acute Treatment Therapies for Pediatric Migraine: A Qualitative Systematic Review.
Headache. 2016 Jan;56(1):49-70. doi: 10.1111/head.12746.
"Of the available evidence, ibuprofen, prochlorperazine, and certain triptan medications are the most effective and safe agents for acute management of migraine and other benign headache disorders in the pediatric population."
https://www.ncbi.nlm.nih.gov/pubmed/26790849

The acute treatment of migraine in adults: the american headache society evidence assessment of migraine pharmacotherapies.
Headache. 2015 Jan;55(1):3-20. doi: 10.1111/head.12499.
"Effective nonspecific medications include acetaminophen, nonsteroidal anti-inflammatory drugs (aspirin, diclofenac, ibuprofen, and naproxen), opioids (butorphanol nasal spray), sumatriptan/naproxen, and the combination of acetaminophen/aspirin/caffeine (Level A)."
https://www.ncbi.nlm.nih.gov/pubmed/25877672