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 .
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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Types Of Drug Treatments
One drug titrated to the ideal dose .
Two drugs typically from different drug classes used to less than maximal dose, but used to complement each other and reduce the risk of side effects associated with each of the medications given in high doses.
One drug switched for another drug in order to improve tolerance or efficacy.
Three or more drugs in either maximal or submaximal doses, typically added one after another due to inadequate response. Your preferences can strongly influence the selection of this process. This is much like a trial and error process and may take a while before treatment success is identified and the desired efficacy is achieved.
Adding different medications may be a preferred treatment strategy as many patients have migraine in addition to another condition commonly associated with migraine, such as depression, anxiety or obesity.
Recognizing that there may be several medical concerns is the first step to ensuring each condition is treated optimally. Sometimes this is achieved with monotherapy, but often this may require polytherapy.
Where Does The Information Come From
Researchers reviewed studies on medicines to treat migraines in the ER. These studies were published through January 2012. The researchers were funded by the Agency for Healthcare Research and Quality , a Federal Government research agency.
The researchers wrote a report on what they found, and this summary is based on that report. The report was reviewed by doctors, researchers, other experts, and the public. You can read the report at www.effectivehealthcare.ahrq.gov/migraine-emergency.cfm.
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What Will This Summary Cover
This summary will cover:
- Medicines to treat severe migraines in the ER
- What researchers have found about how well the medicines work
- Possible side effects of the medicines
- Things to talk about with the ER doctor
Note: This summary does not cover what researchers found about treating migraines at home or ways to prevent migraines. It only covers what researchers found about treating migraines in the ER.
What Drugs Are Good For Migraines
If you have migraine attacks, try one of the drugs listed below. They all work best if you use them when the migraine is just beginning.
If you have migraines often, or if they are very severe, ask your doctor about drugs to prevent headaches.
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Have A Treatment Plan
A solid plan can give you the power to relieve a migraine before the pain becomes severe. This may be the most important weapon you have against future migraine attacks.
Your plan will likely include taking medications when you feel a migraine coming on. Knowing which medication to take can lower your stress level because it removes some of the guesswork of what you should do. Your plan may include over-the-counter pain relievers, prescription medications, or some combination of the two. You should work with your doctor to develop a migraine treatment plan thats right for you.
What Symptoms Must You Have To Be Diagnosed With A Migraine
Migraine with aura . This is a headache, plus:
- Visual symptoms or vision loss.
- Sensory symptoms .
Migraine without aura . A common migraine is a headache and:
- The attacks included pain on one side of your head.
- Youve had at least five attacks, each lasting between four and 72 hours.
Plus, youve experienced at least one of the following:
- Nausea and/or vomiting.
- Lights bother you and/or you avoid light.
- Sounds bother you and/or you avoid sounds.
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What Are Migraine Headaches
Migraine headaches are severe headaches that cause intense pain. They can start suddenly and get worse quickly. A migraine headache typically lasts from 4 hours to 3 days if not treated. Migraines are thought to run in families.
Symptoms of a migraine headache can include:
- A severe headache, often with throbbing on one side of the head
- Sensitivity to light or sound
- Nausea and vomiting
- Difficulty doing physical activities like walking or climbing stairs
Is There A Downside To Taking Magnesium Supplements
Magnesium supplements are generally well-tolerated. The biggest drawback to magnesium is that it can cause diarrhea and/or mild stomach cramps. Additionally, people with kidney problems are more likely to develop high magnesium levels in their bloodstream, which can lead to more serious problems like difficulties breathing or weakness.
This is why it’s important to first discuss magnesium supplementation with your doctor. Even though it’s a “natural” mineral, you are putting something into your bodyso remain sensible, and do it under the care of a healthcare professional.
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What They Are Used For
Preventive medicines for migraine are taken to prevent migraine attacks. They are taken every day and are aimed at preventing migraine attacks altogether or at least reducing their frequency and severity.
If you are having at least four migraine attacks per month you may wish to discuss preventive medication with your doctor. There are a range of different preventive migraine medicines that can be taken, including several that are just becoming available in the UK.
Medicines For Migraine Attacks In Children
Many of the medicines used by adults for migraine are not licensed for children. Paracetamol or ibuprofen is suitable and commonly used. Apart from these you must check with your doctor or pharmacist before giving a child any other medicine for migraine.
- Paracetamol or ibuprofen is suitable. Do not use aspirin.
- As regards anti-sickness medicines, domperidone is licensed for children of all ages, and prochlorperazine is licensed for children older than 12 years.
- Triptans are not licensed for children and so should not be used .
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Drugs For Acute Treatment
These drugs are taken at the onset of migraine symptoms or auras to relieve a headache or reduce its severity.
Taking any of these drugs too often can lead to a rebound headache, headaches that arise from the overuse of medication, which then necessitates additional medication.
If you need to use acute migraine drugs more than 9 times per month, talk to your doctor about possible preventive treatments.
What Are The Symptoms Of Migraines
The primary symptom of migraine is a headache. Pain is sometimes described as pounding or throbbing. It can begin as a dull ache that develops into pulsing pain that is mild, moderate or severe. If left untreated, your headache pain will become moderate to severe. Pain can shift from one side of your head to the other, or it can affect the front of your head, the back of your head or feel like its affecting your whole head. Some people feel pain around their eye or temple, and sometimes in their face, sinuses, jaw or neck.
Other symptoms of migraine headaches include:
- Sensitivity to light, noise and odors.
- Nausea and vomiting, upset stomach and abdominal pain.
- Loss of appetite.
- Feeling very warm or cold .
- Pale skin color .
- Euphoric mood.
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Magnesium Supplements For Your Migraines
This all being said, some organizations, like the Canadian Headache Society, recommend magnesium as a preventive migraine therapy in adults. In fact, the Canadian Headache Society suggests a specific magnesium dose600mg of elemental magnesium daily.
On the other hand, while the American Headache Society and the American Academy of Neurology reported magnesium as “probably effective” in preventing migraines in their 2012 guidelines, they do not give recommendations on a specific dose.
This is probably because the scientific studies examining magnesium supplementation in migraine prevention have used different doses. So it’s hard to pinpoint exactly how much magnesium a person needs to prevent migraines, and it likely varies by the person .
When Should You Worry About A Migraine
Although the symptoms are usually difficult to handle, migraines are rarely dangerous to your general health. However, the pain may become quite severe. If you’re experiencing new symptoms or they’re getting worse each time, there might be an underlying cause that you’ll need to address. That is why journaling is so important! You need to find out how your migraines are progressing, so that you know when to ask for additional help.
Another time to seek help is when there is lack of response from medications and treatment. When migraine headaches get worse with your regular treatment, it’s a clear warning sign that something unusual is happening.
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How Well Do Medicines For Preventing Migraines Work
Medicines to prevent migraines may not stop every migraine. But studies have shown that:footnote 1
- The antiseizure medicines topiramate and valproate can reduce the number of migraines you get each month by more than half. This happened in about 50 out of 100 people who took one of these medicines. Beta-blockers such as propranolol have also been shown to help prevent migraines.
- Some antidepressants, such as amitriptyline, can help prevent migraines for some people.
Even though calcium channel blockers may be used to prevent migraines, the evidence for how well they work is not as strong as it is for these other medicines.footnote 1
In studies, Botox shots worked to reduce the number of migraines people had only if they were having more than 15 migraines a month before treatment. These people had about 2 fewer migraines a month after treatment with Botox.footnote 2
Foods To Avoid When You Have A Migraine
I can understand that it is tough to live with the condition of pain sensation during the day due to migraine headaches. So, along with following the list of foods to eat when you have Migraine, you should also avoid foods that triggers migraine headaches.
Imagine this, you are planning for an important event at work tomorrow, and tonight, you experience a migraine attack, which can stop you from preparing for the event next day!
So, a migraine headache can prove to be quite an annoyance and come in the way of your daily life and productivity. Migraine is one of the most common ailments faced by people of both sexes. When a person experiences intense headaches, accompanied by sensitivity to light and sound, it is usually a migraine. Although the exact cause of a migraine headache is not known, there are many factors like stress, food habits, hormonal imbalances, etc., which can trigger a migraine attack. So, here are a few common foods that you should avoid or not eat when you have a migraine.
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What Questions Should I Ask My Healthcare Provider
- Will my child grow out of their migraines?
- What medications do you recommend for me?
- What should I change about my lifestyle to prevent my migraine headaches?
- Should I get tested?
- What type of migraine do I have?
- What can my friends and family do to help?
- Are my migraines considered chronic?
A note from Cleveland Clinic
Migraine headaches can be devastating and make it impossible to go to work, school or experience other daily activities. Fortunately, there are some ways to possibly prevent a migraine and other ways to help you manage and endure the symptoms. Work with your healthcare provider to keep migraines from ruling your life.
Last reviewed by a Cleveland Clinic medical professional on 03/03/2021.
Are Migraines Dangerous During Pregnancy
The only danger is when your headache may be a sign of something else. You should ALWAYS call your health care provider when:
- Your headache is accompanied by a fever
- Your headache persists for more than a few hours or returns frequently
- You are experiencing blurred vision
It is ALWAYS important to let your health care provider know when you are experiencing any headaches and the details about them.
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Questions About The Covid
After many months of hopelessness and despair, finally there is good news on the horizon. Three vaccines against COVID-19 by Pfizer, Moderna and Johnson & Johnson have been approved. Several more are in development and may get approval in 2021. These vaccines have the potential to end the pandemic if enough people receive both injections of either one.
Several of our patients have asked about these vaccines as they relate to migraine. Here, we will try to address some of these frequently asked questions using the information currently available.
Treatment For Pregnant And Breastfeeding Women
In general, migraine treatment with medicines should be limited as much as possible when you’re pregnant or breastfeeding.
Instead, trying to identify and avoid potential migraine triggers is often recommended.
If medicine is essential, your GP may prescribe you a low-dose painkiller, such as paracetamol.
In some cases, anti-inflammatory medicine or triptans may be prescribed.
Speak to a GP or your midwife before taking medicine when you’re pregnant or breastfeeding.
Page last reviewed: 10 May 2019 Next review due: 10 May 2022
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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.
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
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Headaches Or Migraine Attacks That Occur Following Vaccination Can Be Treated As Usual
After getting the vaccine, if a person has a headache, they can take either their regular migraine abortive drug or an over-the-counter medication to help ease any of the symptoms, says Estemalik.
There was initial concern that if you took an over-the-counter medication after your vaccine that it might make it less effective, but there isnt evidence to support that, says Strauss.
Since people can manage any headache that may come on as a side effect of the vaccine with their normal medications, I hope that takes a little of the fear away. This headache might last longer than what youre used to, but you can certainly treat it, she says.
Which Medications Are Used For Preventing Migraines
Preventative therapy should be considered for patients who suffer from recurrent migraines that cause significant disability, frequent migraines that require treatment more than twice a week, or migraines that do not respond or respond poorly to symptomatic treatments. Currently there are no drugs that specifically target and prevent migraines. Certain blood pressure medications as well as some antidepressants, anti-seizure drugs, and herbals have been shown to have beneficial effects in preventing migraine headaches. It’s important to understand that prophylactic medicines may not produce any significant benefits right away and maximal effects may not be seen for weeks to up to 6 months.
Although a number of medications have been used for the prevention of migraines, the medications that have been shown to be effective in controlled clinical trials, and are therefore recommended by the American Headache Society and the American Academy of Neurology migraine prevention guidelines include:
Use of topiramate can result in decreased sweating and increased body temperature. This may be especially concerning during hot weather. Wearing light clothes and drinking plenty of fluids while using topiramate during warmer months is very important. A physician should be consulted if body temperature rises.
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