Tara Rule says her doctor in upstate New York was “determined to protect a hypothetical fetus" instead of helping her treat debilitating pain.
Tara Rule says her doctor in upstate New York was “determined to protect a hypothetical fetus" instead of helping her treat debilitating pain.
What is the medicine in question? Any other MD (or better, neurologist) here? As far as I know, most of the standard treatment for cluster headaches are safe for pregnant women…
She’s not pregnant though so it wouldn’t matter.
Commonly they dont recommend embryotoxic medication in woman of childbearing age, as unecpected pregnancies happen and the chance for severe birth defects increase. Sometimes these can only be detected late into a pregnancy, so if the person might want to keep a pregnancy it would be not to take it.
That should be the women’s choice to make though. She doesn’t want a baby, if she has an unexpected pregnancy she will abort, so she doesn’t need to take all that into account. She should get her treatment and a prior warning about pregnancy issues that could occur
If a doctor spells out a risk to a patient and then still gives something that ends up causing harm, it is really a bit of a grey area. I don’t think that the doctor is entirely free of guilt in general. That being said, denying a medication without offering a proper substitute on this basis seems egregious. One can, under normal circumstances, control if they get pregnant or not.
Sure, but do not recommend is different than will not give.
Easy solution, prescribe birth control treatment in tandem. Require insurance to pay.
It’s pretty simple really. If someone is taking a medication that creates problems if they become pregnant, and they don’t want to become pregnant, give them treatment to prevent them from becoming pregnant!
Not a Dr. but enjoy a good scientific paper.
Intranasal dihydroergotamine is a category X. Aka it causes fetal damage.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971427/
Also for those that don’t know a cluster headache is a migraine on steroids. Also referred to as “suicide headaches” due to a common event prior to effective treatment.
Also, also referred to as exploding head syndrome
Exploding head syndrome is something different and a potential side effect of rapid discontinuation of SSRIs. I’ve had it and it’s different from a migraine.
Upon refreshing my memory you are correct. I just must have assumed they referred to the same thing
wtf, that sounds awful
eta: “suicide headaches,” “exploding head syndrome,” I am so fucking upset that people suffer from things like this. Idk, I just hope you guys are okay. :(
You’re right. There are other options though. Like oxygen therapy triptan, etc. I don’t understand why didn’t the doctor just prescribe the drug. Just let the patient sign an informed consent… especially if the patient isn’t pregnant and not planning pregnancy at the moment.