Latest News from the World of Headache

First with the news:

Toradol® now in a Nasal Spray (SPRIX®);  If your are one of those patients who find great relief from an injection of Toradol, then it should interest you that the ingredient in Toradol (ketorolac) is now available in a nasal spray. While it has been available in a oral tablet for some time, the nasal spray seems to have results closer to the injection and would especially true in migraine patients, whose GI tract doesn’t absorb  medications well when taken orally. The only problem could be that the insurance companies don’t understand that oral tablets don’t work and they don’t have the insight to understand that it would be cheaper for their enrollees to use a $40 nasal spray than to go to the ER and pay $900 for the injection. I know it sounds like a no-brainer, but it’s not. I have this discussion with insurance companies all the time. If the drug isn’t in their little black book they don’t pay for it no matter how much sense it makes.

Migraine and Restless Legs; A recent study showed that about 20% of migraine suffers (and it didn’t matter if it was migraine with or without aura) suffer also from restless legs syndrome (RLS). No one knows why but it could be another window in figuring out the exact mechanism of both migraine and RLS.