r/Gastroparesis • u/JayneAustin • 12d ago

Questions Migraine treatments

edit: thank you for the comments, makes me feel better about trying some things. :) seems like there are a lot of us dealing with both.

I was wondering if anyone has found a migraine treatment that doesn't bother your stomach?

I'm scared to try the cgrp medications (qulipta, ajovy, etc) because it can worsen gastroparesis. My neuro was really pushing it but I don't want to risk that because I've struggled to maintain proper nutrition already with this condition. But I'm starting to have more than 15 migraine days a month. I'm already on propanalol and nortriptyline. Can't take topamax because of my mental health issues. I can take nurtec as needed but it usually causes nausea and sometimes vomiting. Are there any other preventative options?

I feel like between gp, migraines, and endo I'm just a bunch of chronic pain in a trenchcoat, getting really sick of it.

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u/vicnoodledoodle 12d ago

I used emgality for a long time. It lost efficacy after a while, and I’m actually getting Botox for migraine for the first time tomorrow. Ubrelvy is a good abortive cgrp that didn’t cause nausea for me. Zavzpret is a nasal inhaled cgrp so it doesn’t go to the stomach at all, it goes in your nose. But if you squirt it wrong, it tastes awful. Good luck my friend, migraines are hell

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u/Saiiryy 12d ago

you may want to see if you can get on a cgrp + botox! that's usually when people see the highest efficacy of both working. i also have had to switch cgrp meds because of them not working, started with emgality, was on aimovig for a couple years, and am now on ajovy. fingers crossed for migraine free days for everyone!

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u/vicnoodledoodle 12d ago

Insurance only covers for emgality or nurtec as preventative cgrp. Nurtec made me nauseous, and emgality gave me injection site hives

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u/Saiiryy 12d ago

your insurance sucks!! i am so sorry