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What Can I Take For A Migraine If I M Pregnant

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Can I Take Tylenol If I’m Pregnant?
  • Amundsen S, Nordeng H, Nezvalova-Henriksen K, Stovner LJ, Spigset O. Pharmacological treatment of migraine during pregnancy and breastfeeding. NatRev Neurol. 2015 Apr 11:209-19.
  • Hamilton KT and Robbins MS. Migraine treatment in pregnant women presenting to acute care: a retrospective observational study. Headache.2019 Feb 59:173-179.
  • Amundsen S, Ovrebo TG, Amble NMS, Nordeng H. Risk perception, beliefs about medicines and medical adherence among pregnant and breastfeeding women with migraine: findings from a cross-sectional study in Norway. BMJ Open. 2019 Feb 27 9.
  • Wells RE, Turner DP, Lee M, Bishop L, Strauss L. Managing migraine during pregnancy and lactation. Curr Neurol Neurosci Rep. 2016 Apr 16:40.
  • Content and Format of Labeling for Human Prescription Drug and Biological Products Requirements for Pregnancy and Lactation Labeling
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  • Robinson AY, Grogan PM. OnabotulinumtoxinA successfully used as migraine prophylaxis during pregnancy: a case report. Mil Med. 2014 Jun 179.
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  • When Do Pregnancy Headaches Start

    Pregnancy headaches can become more frequent around nine weeks, when hormones and blood volume increase.

    But, in general, headaches during pregnancy can start any time and feel like a typical headache you might have had when you weren’t pregnant.

    The pain from a pregnancy headache might be concentrated on one side of the head, the sinuses, or both sides of the head, Columbo says.

    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

    Recommended Reading: Chills With Migraine

    What Do I Do If I Have A Migraine In Pregnancy

    If youve never had a migraine call your midwife, doctor or hospital maternity unit. Serious conditions like pre-eclampsia can be like a migraine, so although its unlikely anything is wrong, your healthcare team may want to see you.

    If you have always had migraines, you may find that they get better during your pregnancy. But pregnancy can also change the nature of migraines, so if you have a migraine that feels different to what youve had before, call your midwife, doctor or hospital maternity unit.

    Who Can Help Me Manage Migraine During Pregnancy

    Helpful Migraine Tips &  Printable Headache Tracker

    In addition to treating people with migraine, Starling lives with the disease of migraine. I’ve gone through multiple pregnancies and have two children, and I was able to figure it out and manage migraine in collaboration with my healthcare professional. I know it can be scary for patients, but it’s totally doable, she says.

    Try to channel those feelings into being proactive in how you will manage your migraine during pregnancy, says Starling. I always encourage patients to find a healthcare professional, whether it be your primary care doctor, your neurologist, or your headache specialist, who will collaborate with your ob-gyn to figure out how best to manage your migraine during pregnancy, she says.

    Pregnancy is hard enough for many different reasons, and I think that if we can manage migraine better, it makes it so much easier, she adds.

    Also Check: Can You Get A Fever With A Migraine

    Is It Safe To Breastfeed And Take My Migraine Treatments

    If youâre breastfeeding, youâll need to avoid the medications that are known to make it into your breastmilk .

    When it comes to your acute medications for treating migraines when they strike, âsumatriptan is generally considered safe,â Dr. Crystal notes, âbut eletriptan is preferred due to minimal excretion into breast milk.â

    In terms of preventive medications, propranolol and amitriptyline are generally considered safe, says Dr. Crystal, though thereâs not enough data about topiramate for doctors to assess how safe it is.

    To be safe, youâll want to discuss your migraine treatment with your doctor to be sure itâs safe for breastfeeding mothers. In the meantime, check out TOXNET, a database on which medications are safe to use while breastfeeding.

    During pregnancy, youâre juggling a million things, and dealing with migraines can add to the stress. And, since other types of headaches could crop up during pregnancy, like tension headaches, you may need extra guidance on how to handle headaches during pregnancy.

    To make it easier on you and to keep your baby safe, make a plan for treating your headaches early in your pregnancy, and always check with your doctor before taking a medication or starting a treatment.

    You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch: or call 1-800-FDA-1088.

    Remedies For Migraines During Pregnancy

    Migraines are intense headaches that can occur as a symptom of pregnancy. These are different from stress or tension headaches. It is also normal to experience your first migraine during pregnancy. Some studies have found a slight correlation between migraines and hormones. This makes questions about how to treat migraines naturally while expecting common.

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    What If My Migraine Attacks Get Worse During Pregnancy

    If a woman develops migraine for the first time during pregnancy, or if theres an increase in migraine symptoms during pregnancy, those symptoms should be taken seriously, according to the American Migraine Foundation.

    Research presented at the 2015 International Headache Congress suggested that women who had acute severe migraine during pregnancy are at increased risk for adverse pregnancy outcomes. In the study, more than half of the women experienced adverse outcomes, which included preterm delivery, preeclampsia , and low birth weight. The investigators found no association between the medication the women were taking for migraine and their pregnancy outcomes.

    Its important for all pregnant women with migraine to discuss disease management with the healthcare provider who treats their migraine, especially those women who have worsening symptoms of migraine during pregnancy.

    If I Tend To Get Migraines During My Period Will I Also Get Them During Pregnancy

    What medicines can I take during pregnancy?

    According to the Migraine Research Foundation, menstrual, or âhormonal,â migraines are a type of migraine that affects 7â19% of women.

    For women who get them, they tend to hit just before or at the start of your period. The quick drop in estrogen and progesterone that occurs before your period starts could be what triggers menstrual migraines, according to the US Office on Womenâs Health.

    If you suffer from menstrual migraine, you might worry that youâll also be prone to get migraines triggered by hormonal changes that happen in your body during pregnancy, but thereâs good news. Dr. Crystal points out that many women who get menstrual migraines actually see an improvement in their migraines while pregnant.

    Also Check: Can You Get A Fever With A Migraine

    What Are Possible Complications Of Migraines

    If you have a history of migraine headaches, and have no other health problems, migraines during pregnancy are not usually a concern.

    But if a first-time migraine-like headache occurs in pregnancy, it is important to check for any other type of condition that may be dangerous. This includes bleeding in the brain, meningitis, high blood pressure, or tumors. You may need further testing to find the cause of the headache. This testing may include urine and blood tests.

    I Am Pregnantbut What Is Going To Happen To My Migraine

    Results from studies suggest that up to 80% of women who have migraine without aura experience improvement in migraine during pregnancy, particularly during the second and third trimesters.1-4 Since migraine without aura is often associated with falling levels of oestrogen, the reason for improvement in pregnancy is often considered to be the more stable levels of oestrogen. However, there are many physical, biochemical, and emotional changes in pregnancy that could also account for improvement, including increased production of natural painkillers known as endorphins, muscle relaxation, and changes in sugar balance. In contrast to migraine without aura, attacks of migraine with aura follow a different pattern during pregnancy as attacks are more likely to continue and aura may develop for the first time.5-7

    Also Check: Are Migraines A Symptom Of Pregnancy

    Pregnancy Headache Requires Special Treatment

    What can I expect when it comes to pregnancy headache? And will there be any drugs that I can take without harming the baby? What can I expect when my pregnancy is over?

    There are some things about the big event that just aren’t joyous. One of those things is that their options for drugs and other treatments diminish all of a sudden.

    For many women, migraines almost disappear during pregnancy. But for others, they may get worse or even begin for the first time! What’s going on?!

    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.

    Useful contacts

    Recommended Reading: Can Migraines Cause Seizure Like Symptoms

    Natural Remedies For Headaches During Pregnancy

    It is advisable to rely on home remedies to deal with the problem of headache since medications should be taken only after consultations with doctors. In addition, there are probable side effects of medications on babies that need to be taken care of. So, try these following home remedies, and you might be able to relieve yourself of a headache without any medications.

    When Should I Call A Doctor Or Midwife About A Headache In Pregnancy

    Call your midwife, doctor or hospital maternity unit if you have a very bad headache or a headache that wont go away. This could be a symptom of pregnancy induced hypertension. This is a type of high blood pressure that develops after 20 weeks and goes away within 6 weeks of the baby’s birth. Its also known as gestational high blood pressure or gestational hypertension.

    Call your midwife, doctor or hospital straight away if you have a headache and vision problems and sudden swelling on your hands, feet, face or stomach. This could be a sign of pre-eclampsia, a pregnancy condition that can be dangerous for you and the baby if it is not monitored and treated.

    • discomfort in the lowest part of your stomach
    • back pain
    • loin pain
    • needing to wee a lot or an uncontrollable need to wee
    • cloudy, foul-smelling or bloody wee
    • a raised temperature
    • feeling sick and vomiting.

    This could be a sign of a urinary tract infection. UTIs cab be treated with antibiotics that are safe to use in pregnancy.

    Read Also: Sumatriptan For Back Pain

    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.

    Causes And Treatment Of Headaches During Pregnancy

    How To Deal With Migraine Headaches Before, During And After Pregnancy

    Headaches are a common discomfort of pregnancy. From hormone changes to the sudden end of drinking coffee to not sleeping well, there are plenty of reasons pregnancy can bring on a headache. Headaches may be a pain in the neck but they are usually not dangerous for moms and babies. Heres what you need to know about the causes, prevention, and treatment of headaches during pregnancy.

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    Is Reglan Safe In Third Trimester

    Risk Summary: Malformative risk with use of this drug in pregnant women is unlikely. Comments: -Use during the first and third trimesters should be avoided when possible. -Monitoring for extrapyramidal syndrome and methemoglobinemia is recommended for neonates exposed during the third trimester and/or delivery.

    What Can I Take For Migraines

    Being about 5 weeks pregnant. Anything? I feel like I’m going to die an my obgyn closed 10 min ago

    Tylenol : 2 kids Boise, ID, United States1020 postsJul 28th ’14¤Lovin’MyLilSqueakers¤ 1 child Atlantic Beach, Fl, United States1516 postsJul 28th ’14RJD5 Due 1 child United States2984 postsJul 28th ’14

    Thanks. I couldn’t remember if I was able to take Tylenol or Advil am I able to take Tylenol migraine or does it need to be just plain Tylenol?

    Quoting EMMALYNN: Tylenol 🙁 lol it doesn’t help much at all but it’s all you can take when you’re pregnant.

    I guess it is based on the person, cuz Tylenol always helps me, even with tooth pain.

    Quoting Fallout Mama: I guess it is based on the person, cuz Tylenol always helps me, even with tooth pain.

    I’m immune to Tylenol lolive had chronic pain issues for years and I’ve always just been told to take Tylenol – now it just doesn’t do anything

    Quoting Fallout Mama: I guess it is based on the person, cuz Tylenol always helps me, even with tooth pain.

    Me too. But I think that’s because I rarely take pain medication, and whenever I do it’s Tylenol. So my body doesn’t need an excessive amount to feel pain relief.

    I got horrrrible headaches in my first trimester and the only thing that would semi help was putting an ice pack on my head and napping.

    Recommended Reading: Migraine Headaches Medication List

    Drugs To Treat The Symptoms Of Migraine

    Pain killers

    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.

    How Can I Treat A Headache In Pregnancy

    Know More About a Migraine During Pregnancy: Overview

    If you have a mild headache, its safe to take paracetamol. Make sure you follow the instructions on the packet for how much you can take.

    There are some painkillers you should not take while youre pregnant. These include tablets or capsules that:

    • contain added caffeine
    • contain codeine
    • are anti-inflammatory, like ibuprofen or aspirin.

    Some women may be advised to take a low dose of aspirin as a treatment if they have had miscarriages before or they are at risk of pre-eclampsia. This will be prescribed by a doctor. Aspirin should not be taken as treatment for a headache.

    Try to take the lowest dose of paracetamol that works and for the shortest amount of time. Your midwife, GP or pharmacist can give you more advice if the pain is ongoing and doesnt go away with paracetamol.

    Find out more about drugs and medicines in pregnancy.

    Read Also: Why Do Migraines Go Away After Vomiting

    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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