Which Migraine Medications Are Safe To Use During Pregnancy
Migraine headaches may become less frequent during pregnancy. However, in rare cases migraines may appear for the first time during pregnancy or become worse. Non-drug therapies are considered to be safer during pregnancy, they should be tried first. Non-drug therapies such as relaxation, sleep, massage, ice packs, and lifestyle changes are considered first-line options during pregnancy.
If drug treatment is required, acetaminophen is usually the treatment of choice. When used appropriately, acetaminophen treatment does not affect the pregnancy or the unborn baby.
Nonsteroidal anti-inflammatory drugs are considered second-line options and thought to be safest in the second trimester. They should not be used near the time of birth. Opioids are third-line options. Prolonged use of opioids may cause addiction and dependence in mothers and child.
Triptans are reserved for moderate-to-severe symptoms in women who have failed to adequately respond to other treatments. Sumatriptan is the oldest and most studied triptan in pregnancy. A pregnancy registry for sumatriptan did not find an increased risk of birth defects or miscarriage in 600 patients who were treated with sumatriptan during pregnancy.
Ergotamines should not be used during pregnancy as they may potentially induce hypertonic uterine contractions and vasospasms/vasoconstrictions which can cause harm to the unborn baby.
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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.
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What Is The Treatment
Migraine is complex and there are different treatments available. The right treatment for you will depend on the type of migraine, your symptoms, how often you have attacks and how bad they are. It will also depend on your medical history.
Migraine treatment usually includes acute treatment such as painkillers and anti-sickness medication to stop or shorten an attack. If you are having more than four attacks a month you can ask your GP about preventive treatment. This is usually taken every day to reduce how often you have attacks and how bad they are.
Reviewing any lifestyle factors or triggers that may contribute to the attacks, such as stress, change in routine and sleep patterns, can help. There is currently no cure for migraine.
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.
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Who Is At Risk For Migraines
About 12% of Americans get migraines. They can affect anyone, but you are more likely to have them if you
- Are a woman. Women are three times more likely than men to get migraines.
- Have a family history of migraines. Most people with migraines have family members who have migraines.
- Have other medical conditions, such as depression, anxiety, bipolar disorder, sleep disorders, and epilepsy.
Answer: Botox For Wrinkles And Migraines Works For Me
I have been treating myself with Botox for many, many years to prevent ocular migraines.When I get migraines, I get âocularâ migraines. This means I have vision problems, loss of vision, and shooting lights when I get a migraine. I can always tell when the Botox is wearing off because my migraines come back.I treat many patients for migraines with Botox and in most people, it is beneficial.There are different places to inject when treating for migraines, as opposed to treating for wrinkles, but you can kill two birds with one stone.
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Can Migraines Be Prevented
You can’t prevent every migraine. But learning your triggers and trying to avoid them can help. Take a break from activities that might start a migraine, such as using the computer for a long time. If you know that some foods are triggers, skip them. Some people find that cutting back on caffeine or drinking a lot of water can help prevent migraines.
Make a plan for all the things you have to do especially during stressful times like exams so you don’t feel overwhelmed when things pile up. Regular exercise also can reduce stress and make you feel better.
The more you understand about your headaches, the better prepared you can be to fight them.
What Are The Types Of Headaches What Type Of Headache Is A Migraine
There are over 150 types of headaches, divided into two categories: primary headaches and secondary headaches. A migraine is a primary headache, meaning that it isnt caused by a different medical condition. Primary headache disorders are clinical diagnoses, meaning theres no blood test or imaging study to diagnose it. A secondary headache is a symptom of another health issue.
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Seeds And Nuts Provide Magnesium And Fiber
Magnesium deficiency is one of the most common nutritional causes of persistent or cluster headaches, says Sarah Thomsen Ferreira, RD, MPH, a registered dietitian with Cleveland Clinics Center for Functional Medicine;in Ohio.
Prioritizing ample amounts of magnesium-rich foods daily is one of the best ways to keep these headaches at bay, Ferreira says.
Flaxseeds, sprouted pumpkin seeds, and chia seeds are all good , says Ferreira. Pumpkin seeds are also high in fiber, preventing the;constipation;that;sometimes comes with migraine. Cashews are high in magnesium, too, she says.
How Else Can Migraine Be Treated
Some over-the-counter headache medications can help with the pain, such as Tylenol or Excedrin . If your migraine attacks are more severe or frequent, your doctor may prescribe medications or other treatments for you.
For relief without pills, your doctor may suggest trying Botox injections or using a neuromodulation device like the Cefaly Dual.
Resting in a dark, quiet room helps some people. For extra help, a cold compress on the head can have a numbing effect. There are also natural remedies you can try, including supplements like:
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Challenges To Botox For Migraine
Several criticisms have been voiced about Botox for chronic migraine.
Other migraine specialists have observed that results from Botox vary. Some patients experience no change at all whilst others experience a very significant reduction in headache days.
Interestingly, the UKs drug regulatory agency mentioned in its approval that Botox helps avoid the systemic side effects of pills and its safety profile was better overall.;
Drink A Small Amount Of Caffeine
Although caffeine can cause headaches of its own in large amounts, a small dose of a beverage like coffee or soda can soothe the pain of an intense migraine.
When you drink caffeine, it can offer pain relieving benefitsâas long as you drink just a small amount, as the Mayo Clinic notes. If you drink it right when you feel a migraine beginning to appear, it can also improve the effects of Tylenol, aspirin, and other over-the-counter pain relievers .
Image via Shutterstock
Whatever you choose to calm your intense migraine pain, keep track of what you eat, drink, and do when you get them. Finding the trigger to your headaches can help you avoid them in the future. Avoiding certain foods, ingredients, and activities, you can keep migraines at bay and not have to endure their awful reign.
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Which Migraine Medications Are Safe To Use While Breastfeeding
Although it is safest to avoid all medications if breastfeeding, this is not always feasible. Therefore, to avoid unwanted side effects in the breastfeeding infant, medications should be used at the lowest effective dose and for the shortest duration. Generally, the same medications used during pregnancy can be continued after delivery and while breastfeeding. An exception is aspirin which may cause bleeding problems and Reye’s syndrome in the nursing baby and should therefore be avoided. Mothers who must take medications should also consider not breastfeeding.
Divalproex should not be used in patients with liver or pancreatic disease.
Highly Effective Migraine Solutions
Find out what’s causing your migraineand natural ways to make it stop
What Are Migraines?A recurrent throbbing headache, often in one side of the head, frequently accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraines may include a stage called aura, which is marked by visual disturbances .
Why Migraines Happen“Migraine is a neurobiological disorder involving both neurological and vascular changes in the brain during an attack,” says Susan Broner, MD, medical director of the Manhattan Headache Center in New York City. “People with a genetic predisposition have a reduced threshold for the activation of the brain’s ‘pain centers’ and become hypersensitive to stimuli that cause pain. These set off a wave of nerve cell activity and neurotransmitter release that activates blood vessel inflammation, feeding pain structures deep in the brain.”
HOW TO SOLVE MIGRAINES:
Trigger Management:;If you’re prone to migraines, certain stimuli may bring them on. Track your headaches on a calendar to look for patterns and potential catalysts such as the following.
Dropping Estrogen Levels:;“Before menstruating, women have a steep decline in estrogen that appears to spark migraines,” says Andrew Michael Blumenfeld, MD, director of the Headache Center of Southern California. Low-dose estrogen contraceptives may help.
HOW TO SOLVE MIGRAINES: Natural Remedies
HOW TO SOLVE MIGRAINES: Medical Treatments
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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.
To Thc Or Not Thc: The Cannabinoids That Work Best For Migraines
The 2019;Journal of Pain study;argues that different concentrations of THC and CBD do not impact efficacy. However, other recent research has found that migraineurs prefer hybrid strains with high-THC and low-CBD concentrations. This preference may be due to the potent analgesic, anti-inflammatory, and antiemetic properties of THC.
For Crisci, though, experience has led her to favor low-THC strains. I prefer a sativa hybrid with a high CBD level as a prophylactic or preventative medicine, as a pure sativa can make some, myself included, feel anxious. Ill microdose immediately, once I feel a migraine coming on.;
For full-blown migraines, Crisci prefers indica dominant high-CBD strains. Indica strains lower pain levels more effectively for me, and CBD lowers the THC high. Personally, I do not want to feel high while suffering the effects of an intense migraine, she reflected.
Kimless notes that individual responses to cannabinoids varywhat works well for one may offer less relief for others. That said, some level of THC appears to offer greater alleviation. Most of my patients require a small amount of THC and not just CBD alone to experience relief, said Kimless.;
Polston added that the therapeutic terpenes, flavonoids, and phytocannabinoids also present in cannabis may play a role in easing migraine. More in-depth research is needed to determine what, if any, role these compounds may play, he said.
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How Cannabis Can Help With Migraines
For those who regularly experience migraines, life carries unique challenges. Seemingly harmless sensory stimuli, like bright lights, strong aromas, or loud noises, can trigger unbearable pain. Stress, neck tension, and even jet lag can set a crippling migraine in motion too. This intense pain can be accompanied by a loss of sensation, nausea, or alarming visual changes. The disruption associated with chronic migraines can be so constant it can even erode ones sense of self.;
Although drugs commonly prescribed for the prevention and treatment of migraines help some individuals, they dont offer relief for all migraineurs. Similar to many heavy-hitting medications, a host of unwanted side effects may ensue with use. However, evidence is accumulating that cannabis may be an effective treatment for migraines and chronic headaches.;
A November 2019 study published in the Journal of Pain reported that cannabis could reduce migraine and headache severity by 50%, and although tolerance can increase, cannabis use does not exacerbate headaches or migraines over time. Concentrates appeared to offer more significant relief than flower.;
So now we know cannabis can ease migraine symptoms, what are the most effective ways to harness its benefits?
Prescription Painkillers For Frequent Tension Headaches
Indocin , an NSAID that is available only by prescription, is “usually used for arthritis, but can also be very useful as a headache treatment,” Dr. Rozental says. “Indomethacin‘s downside is that it is among the drugs most likely to cause gastric irritation as a side effect,” including stomach ulcers and bleeding. It can also harm kidney function if taken at high doses or chronically.
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Cayenne Pepper In Warm Water
The compound in cayenne that makes it spicy, called capsaicin, dulls one of the neurotransmitters responsible for sending pain signals to the brain. Some studies show that it can relieve cluster headaches or migraines, especially when applied directly to the skin. Drinking cayenne may help, too, so try sprinkling a little bit in warm water next time you feel a migraine coming on.
I’m Pregnant Can My Migraines Still Be Treated
Some migraine medicines should not be used when you are pregnant because they can cause birth defects and other problems. This includes over-the-counter medicines, such as aspirin and ibuprofen. Talk with your doctor if migraine is a problem while you are pregnant or if you are planning to become pregnant. Your doctor might suggest a medicine that will help you and that is safe during pregnancy. Home treatment methods, such as doing relaxation exercises and using cold packs, also might help ease your pain. The good news is that for most women migraines improve or stop from about the third month of the pregnancy.
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What Type Of Food Causes Migraines
The type of food you eat could also cause migraines to happen. Some of the biggest migraine triggers are:
While they vary in how and why they cause migraines, most of the time its because these foods cause your blood vessels to dilate. Many of these items also contain high amounts of tyramine which can adjust your brain chemicals and lead to migraines.;
Isnt It A Treatment For Wrinkles
Botulinum toxin gets into nerve endings and stops the nerve being able to respond normally to an electrical nerve impulse. Whatever that nerve normally does, stops working. So when facial expression muscles are injected, facial wrinkles are reduced. It was noticed by chance many years ago that people having cosmetic botulinum toxin had fewer headaches. Recently this was proven to work for chronic migraine; it is also used to treat other illnesses including hemifacial spasm, dystonia, cerebral palsy, and stroke.
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