Talking With The Er Doctor
You may want to talk with the ER doctor about:
- Your history of severe migraines and whether you have been to the ER for a severe migraine before
- Any medicines you have taken to treat a severe migraine in the past, how well they worked, and any side effects you experienced from them
- Which medicine might be best to treat your severe migraine
- The possible benefits and side effects of the medicine
Ask your doctor
I Have Heard That Some People Who Get Covid
Headaches are a common symptom of COVID-19 infections, and in some people the headaches can persist even after the illness resolves. This is not surprising since other infectious illnesses can cause headaches that persist long after the infection passes. The International Headache Society Classifies these headaches as chronic headache attributed to bacterial, viral, or other systemic infection. The vaccine can in no way cause you to develop COVID-19, and not taking the vaccine makes it more likely you may get COVID-19 and with it, the possibility of developing a persistent headache and other complications.
2020 was a difficult year for all of us. People living with migraine know what its like to experience hardships, but this has been an extraordinary time. Thankfully though, it appears that the vaccines may offer us a way out of the COVID-19 pandemic. But it can only happen if enough of us get vaccinated to make a difference. Until that happens, its still important to socially distance, wear a mask and continue with frequent hand washing.
You should make a decision about getting the vaccine based on science and advice from your healthcare provider. We will continue to update this page as new information becomes available.
Migraine can be a life-altering and disabling disease but COVID-19 is a life-threatening disease. Get the vaccine!
Migraine Treatment With Injectables What To Expect
Using a very small needle, a specialist injects botulinum toxin into the tiny muscles under your skin throughout various areas around your face, head and neck.
You might get injections in your forehead, temples, and the back of your head and neck. Sometimes the specialist will inject areas called trigger points where the headache pain originates.
These treatments for chronic migraines should be individualized, respecting the unique anatomy and origin points of pain in each patient, Reddy says.
It can take several weeks and multiple treatments before you start experiencing relief from your migraines. Some patients find they can discontinue injections without frequent migraines returning. Others need regular treatments to keep migraines under control.
Injectables can be effective in reducing the frequency of headaches in patients with chronic migraine and can also reduce debilitating symptoms associated with these migraines, says Reddy.
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Im Worried About The Astrazeneca Vaccine And Risk Of Blood Clots
Understandably, a lot of people are worried following the recent information around the AstraZeneca vaccine and blood clots. Currently there is no specific data into migraine and the Covid-19 vaccines . People should follow the latest guidance. If you are worried about the vaccine you should speak to your GP about your individual situation and to discuss any concerns you have.
Generally, even with the latest data and updates the consensus is the benefits of the vaccine outweigh the risks. The EMA concluded that the vaccine isnt associated with an increase in the overall risk of blood clots in people who have it. However, there may be an association with very rare types of blood clots associated with low levels of blood platelets . These are extremely rare and the MHRA has concluded the evidence of a link with the AstraZeneca vaccine is stronger than it was, but there is still more work and data needed.
We will continue to monitor the situation and provide updates.
Whats The New Research On Covid
There has been some clinical research and a number of case reports published around the world related to migraine and COVID-19. These all indicate that, despite early assurances that we were at no greater risk, migraine is a concerning underlying condition when it comes to the management of COVID-19. Migraine Australia has written to ATAGI this week outlining some of the below research. We have asked them to stop excluding migraine from the definition of chronic neurological conditions in their advice. We have also asked them to consider providing specific advice on migraine to make it clear what the risks are, and give clearer guidance on vaccination decisions for people with migraine, their carers and their doctors.
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When To Call The Doctor
Side effects can affect you or your childs ability to do daily activities, but they should go away in a few days.
In most cases, discomfort from pain or fever is a normal sign that the body is building protection. Contact a doctor or healthcare provider:
- If the redness or tenderness where the shot was given gets worse after 24 hours
- If the side effects are worrying or do not seem to be going away after a few days
If you or your child get a COVID-19 vaccine and you think you or they might be having a severe allergic reaction after leaving the vaccination site, seek immediate medical care by calling 911. Learn more about COVID-19 vaccines and rare severe allergic reactions.
Booking Your 2nd Dose
People aged 16 or over are eligible for a 2nd dose.
People aged 18 or over should have their 2nd dose from 8 weeks after their 1st dose.
Most people aged 16 or 17 should have their 2nd dose from 12 weeks after their 1st dose.
- If you book online, you’ll be asked to book appointments for both doses. You can manage your COVID-19 vaccination appointments to view your appointments and rebook if you need to.
- If you had your 1st dose at a walk-in vaccination site, you can book your 2nd COVID-19 vaccination appointment online. You’ll need to wait 24 hours after your 1st dose before you can book.
- If you have your 1st dose through your GP surgery, you’ll be contacted when it’s time to book your 2nd dose.
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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.
When Should I Call My Healthcare Provider About A Headache
If you have these symptoms, see your healthcare provider or go to the emergency room:
- Feeling that youre having the worst headache ever.
- Headache that comes with vision loss, vomiting or loss of consciousness.
- Headache pain lasting more than 72 hours, with less than four pain-free hours in a row while awake.
- Feeling that something is off or not right.
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How Are You Treating Patients In This Uncertain Time
Patients are doing video visits with me while actively infected in the first 14 days, then are able to follow up with me in office if they want after that. Being able to offer video visits has been a wonderful resource for these patients to have while they’re sick and at home. They can still receive acute and adequate, quality neurologic recommendation and care. Theyre not told `Oh, you’re sick right now, nobody can see you.
If I Get A Migraine Attack After Getting A Covid
Let your healthcare provider know before you take the vaccination, so that you can work out a bridge plan if needed. If you get a migraine attack, you can typically treat it using your usual regimen. Typical migraine medications should not affect the vaccine.
To sum all this up, itâs reasonable to worry that getting a vaccine might give you an attackâthatâs a real possibility. But when you compare that to the risk of coming down with COVID-19, the choice is a no-brainer: Your long-term health is whatâs most important.
The information provided in this article is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided in this article for specific medical advice. If you have any questions or concerns, please talk to your doctor.
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There Hasnt Been Enough Time To Conduct Large In
Correct. We’ve had a couple of months. We don’t have any randomized control trials. What we have is on-the-ground, in-the-battlefield advice that the drug gabapentin nightly has looked helpful for these patients who have post-COVID-19 lingering headache, who we know have normal resolved brains, where were not seeing strokes encephalitis, clots or anything. There isn’t anything randomized controlled about it. It’s the same way we’re having to do everything with COVID-19, which is by the seat of our pants.
What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from light, excess heat, and moisture .
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
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Some Drugs Should Rarely Be Used
Migraine attacks can last for hoursor even days. They can cause intense pain, nausea, and vomiting. They can make you sensitive to light or noise, and they can affect your life and work.
To treat migraines, you may get a prescription for an opioid or a barbiturate called butalbital. These are pain medicines. But you should think twice about using these drugs. Heres why:
Can I Continue To Take My Migraine Medication
Some people are concerned about whether they can continue to take their migraine treatments when they are scheduled to have their Covid-19 vaccination.There is no evidence that migraine treatment should be delayed in people who are due to receive a vaccine. There is no evidence that the treatments for migraine and other headache conditions interfere with the effectiveness of the vaccines.
If you regularly take painkillers for your medical conditions you should continue to do so as directed by your GP. Otherwise its not recommended to take painkillers before you have the vaccine. In general, taking over-the-counter medications that reduce fever or inflammation before receiving a vaccine may reduce its ability to work and impact your immune response to the vaccine. You can take over-the-counter medications to help with any side effects after youve had the vaccination, if you need to.
If you have any questions about the vaccine, medication and your migraine, you should speak to your GP or specialist.
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Are There Any Specific Issues For People With Migraine
The deep and entrenched stigma against migraine has resulted in people with migraine not being diagnosed with either COVID-19 or TTS adequately or early enough. There are now multiple case studies in the literature of significant adverse events, including stroke, that was initially treated as migraine.
Early on, the biggest concern most people have had with the COVID-19 vaccines was that the vaccine may trigger a migraine attack, or that their CGRP biologic medication may interfere with the vaccine . Both of those issues have been looked at and we are reliably assured by specialists that there is no specific issue or concern with the vaccines for people with migraine including those on new CGRP preventative medications Aimovig, Emgality and Ajovy.
The research that COVID-19 may be worse for people with migraine is concerning. Even though the restrictions are lifting and borders are opening, please get vaccinated, stay at home when you can, wear masks and do anything else you can to avoid getting COVID-19.
How Long Does It Take To Work
After you start taking Aimovig, it may take a few weeks to see an improvement in your migraine headaches. Aimovig may take full effect after several months.
Many people who took Aimovig during clinical trials had fewer migraine days within 1 month of starting the drug. People also had fewer migraine days after continuing the treatment over several months.
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Which Vaccine Will I Get
You cannot usually choose which vaccine you have. When you book, you’ll only be offered appointments for vaccines that are suitable for you.
Most people can have any of the COVID-19 vaccines, but some people are only offered certain vaccines.
- if you’re pregnant or under 40 you’ll usually be offered appointments for the Pfizer/BioNTech or Moderna vaccines
- if you’re under 18, you’ll only be offered the Pfizer/BioNTech vaccine
You should have the same vaccine for both doses, unless you had serious side effects after your 1st dose.
Instructions On How To Take Aimovig
Aimovig comes as a solution thats given as an injection under your skin . Youll give the injection to yourself at home once per month. The first time you get a prescription for Aimovig, your healthcare provider will explain how to give the injection to yourself.
Aimovig comes in prefilled single-use autoinjectors and syringes. Each form contains only one dose and is meant to be used once and then thrown away.
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How Aimovig Is Metabolized
Many drugs, herbs, and supplements are metabolized by enzymes in your liver. But monoclonal antibody drugs, such as Aimovig, are not usually processed in the liver. Instead, this kind of drug is processed inside other cells in your body.
Because Aimovig isnt processed in the liver like many other drugs are, it generally doesnt interact with other drugs.
If you have any concerns about combining Aimovig with other medications you may be taking, talk with your doctor. And be sure to tell them about all prescription, over-the-counter, and other medications you take. You should also tell them about any herbs, vitamins, and nutritional supplements you use.
Side Effects And Safety
The COVID-19 vaccines approved for use in the UK have met strict standards of safety, quality and effectiveness.
They can cause some side effects, but not everyone gets them.
Any side effects are usually mild and should not last longer than a week, such as:
- a sore arm from the injection
- feeling tired
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No Special Measures Are Needed If You Use Cgrp Antibodies
There are currently four monoclonal antibody medications Aimovig , Ajovy , Emgality , and Vyepti that are used in the prevention of migraine, including three injectables and one infusible, says Estemalik. There are no contraindications and no concerns for people on these medications in terms of getting any of the COVID-19 vaccines, he says.
People on these medications do not need to stop any of their drugs for a certain period of time before getting their vaccines, says Estemalik.
How Do Botulinum Toxin Injectables Help Treat Migraines
Researchers are eager to learn how botulinum toxin-based drugs help relieve migraine pain. Evidence suggests that the drug interrupts the pathway of pain transmission between the brain and nerves that extend from the spinal cord.
When you have a migraine, your body releases substances called neurotransmitters and molecules that are associated with pain. Botulinum toxin interferes with the transmission of these substances, typically where the nerves and muscles meet. Researchers think that when the drug is injected into the muscles around the face, head and neck, it is taken up by the nerves and interferes with pain-associated neurotransmission.
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How Are Migraines Treated
Migraines can be treated at home with over-the-counter pain medicines such as acetaminophen , ibuprofen , or naproxen or with prescription medicines from your doctor. When a migraine hits, it may also help to lie down in a dark room and try to sleep.
To prevent migraines, try to avoid things you know can trigger your migraines and try to get regular exercise. Your doctor may also give you medicines to help prevent migraines.
What Is A Headache
There are three main types of headache.1
- Primary headaches, which may have several causes but do not develop due to an injury or illness. These include tension headaches, cluster headaches, and migraine.
- Secondary headaches, caused by an underlying health condition.
- Painful cranial neuropathies and other facial pains.
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Migraine Symptoms Being Confused With Tts Symptoms
You may recall that our advice from April of this year focused strongly on this point. The advice to be on the lookout for a severe headache that is unresponsive to treatment is of little use to people who experience those symptoms on any given day. You can see that advice below. People living with Migraine who have had the AstraZeneca vaccine may have trouble being able to tell the difference between their usual migraine attack and a case of TTS.
The deeply held stigma against Migraine as being a condition of concern also results in doctors dismissing the concerns of migraine patients, and potentially missing a TTS reaction. A case report of a 30 year old female, was described as being otherwise healthy, despite having a diagnosis of migraine. The patient developed thrombocytopenia after being administered the AstraZeneca vaccine. Acute migraine medication improved her headache symptoms and she was discharged from hospital… and, unsurprisingly, she was then was readmitted to hospital in a poor condition two days later. This case shows that the stigma around Migraine as just a headache, rather than a complex genetic neurological disorder associated with increased risk of vascular dysfunction, including stroke, was likely ignored when she first sought medical help. Further, this case highlights that migraine attack symptoms can mask the diagnosis of TTS symptoms from both patients and doctors.