I have experience a chronic, persistent headache for the past 4 years. Every second of every day I feel it. I even remember the morning it started (March 15th, 2018). I had never gotten a migraine or tension type headache, so it was a shock for me (a 23 year old in good shape w/ no other health conditions).
I have been involved with my healthcare providers since. I work at a State hospital, so the onsite care is above average. That said, I made a trip to the Mayo Clinic just to make sure I wasn't about to drop dead. They re-iterated my neurologist back home, except for the description. While my neuro felt I had an unremittent migraine, Mayo believed it was a 24/7 tension type headache with myofascial pain. Mayo's description was more accurate, but it is important to remember that head pain has overlapping pathways no matter the diagnosis.
Over the past four years I've had multiple scans of my head, sinuses, and back. I've seen an ENT, allergist, and cardiologist in addition to multiple neurologists. None were able to provide a rationale for my pain. I've tried every OTC under the sun. I've taken consistent baths, used heating pads, and tried massage. At best these things lightened the pain, which always fully returned.
I've tried the following: Gabapentin, Lamotrigine, Topamax, Carbamazepine, Melatonin, Aimovig, Adderall, and Ritalin. Of these, Topamax was decent (although the side effects were less than ideal) and stimulants helped with the pain (slightly) and brain fog. Lamotrigine lessened the number of bad days, but didn't decrease the pain on the bad days (Topamax did).
Last night was my first dose of Qulipta. I took it when the pain was extremely bad. I immediately felt relief. Today, I feel amazing. It is the best, most immediate response I have had to any medication. This is a bit of a shock, as Aimovig (which targets the same receptor) was ineffective.
Hopefully Qulipta, alongside lamotrigine, continues to work. Some other reviews mention a decrease in effectiveness, so I'll give an update in a few weeks. A good take away is that head pain, migraine or not, shares similar signaling pathways. DON'T convince yourself that non-migraine head pain won't respond to migraine treatment.
All the best.Read More Read Less