Discussions that mention amerge

Brain & Nervous System Disorders board

I am so sorry that this accident happened to your young daughter.

Do you have health insurance where she can have a PET scan which shows the brain much better, any problems done to the optic nerve, and intricate blood vessels? They probably ruled out subdural hematoma, etc.

It takes a long time for trauma to heal. Has she seen an orthopedic physician for her hip?

I am concerned that she is using Motrin for pain. That in itself can cause stomach/intestine problems for young individuals (internal bleeding).

Does she have cervical inflammation? That can generate the migraines. As long as she has cervical inflammation, she will have the migraines. Does she have a neurologist? If not, it is time for her to see one right away and to have continued monitoring until she is much, much improved. Hopefully, you'll find one that is very sensitive to your daughter's needs.

Have you had her eyes checked by an ophthalmologist? Keep watch on those especially if she has any blurred vision. What I've learned, I would have her eyes checked every six months for the next three years at least. Have her inform you of any visual problems such as "flashing spots", "blurred vision" that does not resolve after a migraine, and when reading--"trying to see around a spot" that does not resolve after a migraine, any floaters that appear (dark little spots in her eyes--especially if they form a web pattern---hopefully before this happens she'll have had the exam). Anytime you have a head injury, always inform your eye doctor. The medical community is aware that trauma can affect the eyes. Particularly when it is frontal or directly to the eye. However, they don't seem to correlate any back of head or neck trauma as the cause of eye problems that might occur a year or so later. There are incidences where patients have had trauma, whiplash, and end up later with eye problems.

I don't know if a neurologist will prescribe these medications for a 14 year old. You might read about these drugs but I've heard for spinal and joint pain that BEXTRA is a good reliever. It is very expensive though. A combination of Celebrex with Soma (muscle relaxer) will help with severe inflammation caused by a traumatic accident.
Zanaflex is a good muscle relaxer and can also help with migraines. Zomig can abort those painful migraines and allows the patient to continue functioning without drowsiness. A combination of Zomig and Amerge (non-drowsy too) is also good. The neurologist may prescribe taking a Zomig at the first onset of the migraine, followed 2 hours later by an Amerge tablet. Very effective. For nausea and vomiting, the first step is taking a phenergan (suppository: necessary to be able to take the oral medications for migraines and/or hip pain).

I think you need a sensitive medical team of a neurologist to treat her head/spine/migraines and pain, orthopedic physician to treat her hip, ophthalmologist to monitor her eyes, and physical therapist. There are doctors who are sensitive to their patient's needs and I hope she gets the care she deserves. This kind of trauma takes time to heal. She may be contused to the bone in some areas.