What Can I Take To Treat My Migraine If I Am Breastfeeding
The same drugs used in pregnancy can be taken whilst breastfeeding, with the following exceptions aspirin is excreted in breast milk, so should be avoided during breastfeeding because of the theoretical risk of Reyes syndrome and impaired blood clotting in susceptible infants metoclopramide is not generally recommended during lactation since small amounts are excreted into breast milk. The licensing for sumatriptan indicates that a 12 hour delay between treating and breastfeeding is necessary. However, the breastfeeding can continue without interruption during treatment with sumatriptan.13 Almotriptan,eletriptan, frovatriptan, and rizatriptan are licensed for use in breastfeeding providing that you do not breastfeed within 24 hours of the last dose. We would recommend similar advice for naratriptan and zolmitriptan.
Is Headache A Sign Of Pregnancy
Headache may not be considered a sign of pregnancy. It is usually a sign of other health problems during pregnancy.
Headaches are benign and do not affect your baby in any way. They might trouble you and disturb your routine. But the above-mentioned treatments and preventive methods could help provide relief from headaches during pregnancy. However, make sure to consult your doctor before starting any medications or herbal medicines.
Headaches are benign and do not affect your baby in any way. Yes, they will trouble you and disturb your routine. But the above-mentioned treatments and preventive methods can certainly help provide relief from headaches during pregnancy. However, make sure to consult your doctor before starting any medications or herbal medicines.
Migraine Triggers During Pregnancy
Hormonal change is a common trigger for women with migraine. During pregnancy, oestrogen levels increase sharply, while progesterone levels decrease and rise again towards the end of the pregnancy.
Overall migraine improves during pregnancy especially during the second and third trimesters. This improvement may be due to the increased oestrogen levels and increased levels of natural pain-killing hormones .
These hormones are several times higher during pregnancy, and though the relief from migraine attacks they provide might last the whole pregnancy, the levels settle back down after delivery, normally allowing migraine attacks to return.
However, not everyone will see an improvement in their migraine, especially in the early weeks of pregnancy. For some women, their migraine is unaffected. Some women experience worsening migraine during pregnancy although this is rare.
During breastfeeding, stable oestrogen levels continue to be protective against having headache again after pregnancy.
However you are affected, it can help to identify any migraine attack triggers that you have, such as lack of sleep, stress, missed meals and dehydration. Keeping a headache diary may help pinpoint your triggers so you can avoid those things. Log when the headache happened, what triggered it, and how long it lasted. Common triggers include but are not limited to:
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Pregnancy And Migraine Medication
Pregnant women have to be very careful about what they put into their bodies, which is also true for most migraine medications. Women in early stages of pregnancy and on migraine medication should call their doctor as soon as they learn that theyre expecting. For women who do experience migraine attacks during pregnancy, some medications are safe for pregnant women to use, including Benadryl and Tylenol, but call your doctor to confirm. An obstetrician should work quite closely on a treatment plan with a mom-to-bes migraine management team, whether that includes a primary care physician, neurologist, headache specialist, or someone else. Of course, migraine and the experiences of pregnancy vary from person to person. Women who have their headaches accompanied by aura may not see the same improvement other migraine sufferers do, Robbins said.
Natural Remedies For Pregnancy Migraines:
During the first three months the symptoms of pregnancy can make your migraine worse. Morning sickness can mean that you feel like eating and drinking less which can cause low blood sugar and dehydration. If you are not careful this can make your migraines worse. You should try to eat small frequent meals and drink frequent small amounts of water to prevent this. You will also be helping reduce any pregnancy sickness. Other remedies may include:
- Dark Room Often, a migraine can make you sensitive to bright lights. Find a dark room, and turn off any electronics.
- Nap Lying down to take a short nap can help alleviate migraines. Many people report that an hour nap is often enough to stop the pain.
- Cold Pack While lying down, place a cold pack or damp towel on your head. The cold should constrict blood vessels in your head and help alleviate the pain.
- Relaxation Techniques Talk to your doctor about relaxation exercises that are safe during pregnancy. Relaxing the muscles around your back, neck, and head can release the pressure causing the migraine.
- Take care of yourself Sometimes, migraines can be set off by dehydration, tiredness, not eating well, or lack of sleep. Try to maintain a healthy, balanced lifestyle, which can help mitigate the symptoms of migraines.
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When Should I Call My Doctor
Whether you experience headaches or not, its always important to discuss your pre-pregnancy history, obstetrical history and concerns with your doctor for an individualized assessment and management plan. However, if none of the above treatments resolve your mild headache or your headaches become more frequent and severe, talk to your doctor to determine the cause.
This includes new headaches that present after 20 weeks, a sudden onset of severe headaches, headaches associated with a fever, mental health changes, elevated blood pressure and vision changes, Dr. Saunders said. Its important to keep an open line of communication with your physician and let them know about any changes in your health so they can rule out anything serious.”
What Can I Do During Pregnancy To Decrease The Chance Ill Get A Migraine
Since so many migraine treatments are off the table while pregnant, it might feel like your arsenal is running low.
With fewer medications to turn to, lifestyle changes can make a huge difference in keeping your migraines under control while youâre pregnant.
Dr. Crystal recommends:
- Avoiding your known migraine triggers
- Dental evaluation for a night guard, if necessary
- Eating frequent, small meals
- Getting good sleep, and enough of it
- Physical therapy for neck pain and muscle spasms
- Prenatal massage
- Reducing stress as much as possible, and exploring techniques for managing stress
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How Are Migraine Headaches Managed In Pregnancy
If a woman has a history of migraine headaches, and there are no other health problems, migraines during pregnancy are not usually a concern. However, if a first-time migraine-like headache occurs in pregnancy, it is important to rule out any other type of condition that may be dangerous, such as bleeding in the brain, meningitis , or tumors. Further testing may be needed to determine the cause of the headache.
Treatment of migraines in pregnancy may include soothing and nondrug measures, such as cold packs, a darkened room, and sleep. Avoiding triggers, such as certain foods and stress, may also be helpful. Medications must be carefully chosen because many drugs pass through the placenta to the developing fetus. Small doses of caffeine and acetaminophen are generally safe, but only as advised by your doctor. Avoid nonsteroidal anti-inflammatory drugs. Drugs that can be used include acetaminophen, promethazine, and opioid pain relievers, such as morphine. However, limit the use of opioid pain relievers because of the potential for addiction of the mother and baby. Consult your doctor for more specific information regarding treatment for migraines during pregnancy.
How Do Migraine Headaches Typically Change From First Trimester To Second Trimester To Third Trimester
âDue to the abrupt hormonal changes and increased blood volume,â says Dr. Crystal, âthe first trimester is often a time of increased headaches for women with migraine.â
Luckily, they can get better in the second trimester, âthough for some patients the turning point does not occur until around week 20.â
For some women, migraines can come back near the end of pregnancy, possibly because the discomforts of late pregnancy can impact your sleep.
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Cautions About Headaches During Pregnancy
Most headaches and migraines are not cause for alarm. However, severe migraines sometimes require hospitalization so you can receive fluids, pain medication, or anti-nausea drugs.
Seek care right away if you experience any of these symptoms:
- Lasting headache
How To Get Rid Of A Migraine Fast With The Chill Method
You arent at your best when a Migraine attack hits. The beginning of an attack brings exhaustion, difficulty thinking, and anxiety. It can be tempting to panic and give in to the fear especially if you dont have your abortive meds in reach.
Panicking will make only make it worse I know from experience. Your breathing becomes more shallow when youre stressed, kicking your nervous system into fight-or-flight mode and depriving your brain of the oxygen it needs.
You dont have to remember how to get rid of a Migraine fast, just remember to CHILL.
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Abortive Treatment In Pregnancy
Acetaminophen is commonly used as an abortive agent for migraine and is considered safe during all trimesters of pregnancy. Acetominophen use is reported by 65% of pregnant women.35 There was some concern of an association between acetaminophen use during pregnancy and neurodevelopment effects, in children with more than 28 days in utero exposure .36 The European Medicines Agency, however, found the data for this association insufficient.37
Non-steroidal anti-inflammatory drugs , although commonly used for migraine treatment, have limited use in pregnancy. As prostaglandin synthetase inhibitors, NSAIDs can affect fetal development in a trimester-specific manner.38 Some studies have shown NSAID use in the first trimester leads to congenital malformations and miscarriages.38,39 A more recent study, however, evaluating the teratogenicity of NSAIDs in the first trimester did not find significant embryonic risk in women exposed to NSAIDs compared with women who were not exposed.40 In the third trimester, NSAID use should be avoided because of the known risk of premature ductus arteriosus closure and other adverse fetal outcomes.41
Metoclopramide is a preferred antiemetic during pregnancy with established safety in the treatment of hyperemesis gravidarum.42 The combination of parenteral diphenhydramine and metoclopramide is an effective migraine abortive when acetaminophen is not sufficient.43
Symptoms Of Migraines During Pregnancy
A migraine usually starts out as a dull ache and then eventually becomes a throbbing, constant, and pulsating pain in the temples, in front of the head, or base of the head. Migraines are sometimes accompanied by nausea, sensitivity to light, vomiting, dizziness, and auras, which are spots or lines that can occur across ones vision. The pain can sometimes make it difficult to focus, and symptoms can be debilitating.
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Drugs To Prevent Migraine
If daily medication is considered necessary to prevent migraine during pregnancy, the lowest effective dose of propranolol is the drug of choice.9 Low dose amitriptyline is a safe alternative.9 There are no reports of adverse outcomes from pizotifen used during pregnancy or lactation, although it is less often used than the drugs above.
In contrast, sodium valproate, should not be taken during pregnancy for migraine as there is a high risk of fetal abnormalities. Indeed, women prescribed sodium valproate for migraine must use effective contraception.
Topiramate should not be used for migraine during pregnancy and breastfeeding as there are insufficient data regarding safety.
Drugs To Treat The Symptoms Of Migraine
Most painkillers are safe to use in pregnancy. However, check with your doctor, particularly if you are getting headaches more often than a couple of days a week.
Paracetamol is the drug of choice in pregnancy, having been used extensively without apparent harm to the developing baby.9
Aspirin has been taken by many pregnant women in the first and second terms of pregnancy.9 However, it should be avoided near the expected time of delivery since, it may be associated with early closure of the fetal ductus arteriosis and can also increase bleeding.9
Codeine: Codeine is not generally recommended for the management of migraine in the UK.10 However, occasional use in doses found in combined analgesics is unlikely to cause harm.
Ibuprofen: can be taken during the first and second trimesters in doses not exceeding 600mg daily.9 However, frequent use or exposure to high doses after 30 weeks is associated with an increased risk of premature closure of the ductus arteriosus.9
Antisickness drugs Buclizine, chlorpromazine, domperidone, metoclopramide and prochlorperazine have all been used widely in pregnancy without apparent harm.
Data regarding safety of sumatriptan during pregnancy are reassuring.11 However, continuing triptans during pregnancy is not recommended without medical supervision.
Ergots Ergotamine should not be used during pregnancy as it can increase the risk of miscarriage and perinatal death.
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What Can I Do About Headaches
Steps to manage headaches include the following:
Avoid any known headache triggers, including allergens and certain foods, like monosodium glutamate, cured meats, and strong cheeses.
Smoking is never a good idea in pregnancy. You should also avoid secondhand smoke.
Try to eat well and drink plenty of fluids, especially if you are prone to morning sickness.
Reduce your stress level. Try a massage or cold pack to help with tension headaches.
If your headache is a migraine, rest in a cool, dark room with no noise, and try using warm or cold compresses or an ice pack.
There is good news, however. Most women have fewer headaches during pregnancy, especially after the first trimester. And those with a history of migraines often find there is improvement during pregnancy.
Does Migraine Affect Baby During Pregnancy
Many pregnant women have migraine headaches. Over half of women find that their migraines happen less often in the last few months of pregnancy. But migraines may get worse after birth, during the postpartum period. Although migraine headaches may cause you severe pain, they do not harm your developing baby .
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Headache During Pregnancy: Types Causes Treatment And Home Remedies
Headaches might occur in any trimester for different reasons. They may get worse and frequent with time, too. While some types of headaches occur due to hormonal changes, others could result from health issues of pregnancy. Whatever could be the reason, discussing with your doctor could only help in proper treatment and management.
This MomJunction post discusses all about headaches during pregnancy, and ways that may help to deal with them.
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Complementary And Alternative Medicine
Non-drug treatments certainly can be helpful, and massage, acupuncture, relaxation and biofeedback have been found to be useful by some. Some women also find applications of heat or cold to the head can be useful.
Many women also prefer to take complementary and alternative medicines such as homoeopathic and herbal remedies rather than traditional medicines whilst they are pregnant, considering them to be milder.
However, some complementary treatments can have an unwanted effect on your pregnancy just as conventional medicines can. For instance, some women find aromatherapy massage very helpful, and may be unaware that some essential oils need to be avoided.
Reflexology treatment is not always advisable during pregnancy, and all complementary medicines should be taken under the supervision of a qualified practitioner. Feverfew should not be used during pregnancy.
The best advice is to take as few medicines as is realistically possible for you, and at the lowest effective dose, if needed. The use of any drugs or herbal remedy to treat your migraines during pregnancy and whilst breast feeding is a balance of risk and benefits, taken with medical advice. Any medication you do take should be recorded in your pregnancy notes.
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Safe Tips To Treat Headaches During Pregnancy
You don’t have to suffer through pregnancy headaches. Ward them off with these safe solutions.
If you’re like most people, you tackle a headache with an over-the-counter pain reliever. Then you charge on with your busy life. If you’re pregnant, though, the type of medication you can take is seriously restricted. It’s a cruel irony since some of the common hallmarks of pregnancysuch as fatigue, low blood sugar, and hormonal mood swingscan also trigger headaches.
In general, most headaches are considered tension headaches, and they’re usually described as a tight band of pain around the head and sometimes at the back of the neck. Emotional factorslike stressoften cause them, but there’s a wide range of physical causes too. Eyestrainfrom poor lighting or sitting too long at a computerfor example, can bring on a headache. Sinus headaches, where the pain sits behind the forehead, cheeks, or the bridge of your nose, are less common, but they happen if an infection or allergy causes an inflammation that blocks mucus from draining into the nose.
Finally, there are migraine headaches. If you’ve endured them, you know that the word headache” doesn’t quite describe the debilitating pain, which is often associated with nausea or sensitivity to light or noise. A wide range of things can trigger migraines, including weather changes, menstrual cycles, and certain foods.
What Causes Migraine Headaches During Pregnancy
Migraine headaches seem to have a genetic component, which means they tend to run in families. That said, theres usually a triggering event that unleashes them. One of the most common triggers at least for women is fluctuating hormone levels, particularly the rise and fall of estrogen.
Moms-to-be who get migraine attacks tend to experience them most often in the first trimester of pregnancy, when hormone levels, including estrogen, havent yet stabilized.
An increase in blood volume, which is also common in the first trimester, can be an additional factor. As blood vessels in the brain expand to accommodate extra blood flow, they can press against sensitive nerve endings, causing pain.
Other common migraine triggers, whether youre pregnant or not, include:
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