What Is The Prognosis For People With Migraines
Migraines are unique to each individual. Likewise, how migraines are managed is also unique. The best outcomes are usually achieved by learning and avoiding personal migraine triggers, managing symptoms, practicing preventive methods, following the advice of your healthcare provider and reporting any significant changes as soon as they occur.
Medications For Acute And Chronic Migraines
- Triptans , may be extremely effective in treating migraines and may be prescribed to help patients treat their migraines at home. A combination of naproxen and sumatriptan is available. Additionally, sumatriptan is now available as a patch, which delivers the medication though the skin.
- Not every patient can take these medications, and there are specific limitations regarding how often these medications can be used.
Other migraine treatments
How To Use Rizatriptan Tabletdisintegrating
Take this medication as directed by your doctor, at the first sign of a migraine. Handle the tablets with dry hands. Place the tablet on your tongue, allow it to dissolve, and swallow with your saliva. You do not need to take this medication with water or other liquid. It may be taken with or without food, but may work faster when it is taken on an empty stomach.
Do not break or crush the tablets. If you are using the individually wrapped tablets, do not open the outer pouch until the dose is needed. Peel the foil back and carefully remove the tablet from the blister pack immediately before taking your dose. If you are using the tablets from a bottle, leave the tablets in the bottle they came in until you are ready to take a dose. Keep the bottle tightly closed between uses.
The dosage is based on your medical condition, response to treatment, age, and other medications you may be taking. For children, the dosage is also based on weight. Be sure to tell your doctor and pharmacist about all the products you use .
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Drink Caffeinated Tea Or Coffee
Sipping on beverages that contain caffeine, such as tea or coffee, may provide relief when you are experiencing a headache.
Caffeine improves mood, increases alertness and constricts blood vessels, all of which can have a positive effect on headache symptoms .
It also helps increase the effectiveness of common medications used to treat headaches, such as ibuprofen and acetaminophen .
However, caffeine withdrawal has also been shown to cause headaches if a person regularly consumes large amounts of caffeine and suddenly stops.
Therefore, people who get frequent headaches should be mindful of their caffeine intake .
Certain herbs including feverfew and butterbur may reduce headache symptoms.
Feverfew is a flowering plant that has anti-inflammatory properties.
Some studies suggest that taking feverfew supplements in doses of 50150 mg per day may reduce headache frequency. However, other studies have failed to find a benefit .
Butterbur root comes from a perennial shrub native to Germany and, like feverfew, has anti-inflammatory effects.
Several studies have shown that taking butterbur extract in doses of 50150 mg reduces headache symptoms in both adults and children .
Feverfew is generally considered safe if taken in recommended amounts. However, butterbur should be treated with caution, as unpurified forms can cause liver damage, and the effects of its long-term use are unknown (
Foods containing them have been shown to trigger headaches in some people.
Types Of Migraine With Aura
Aura can happen in four types of migraine:
- Migraine with aura . This is also called a classic migraine.
- Migraine with brainstem aura. This is when the aura starts in the base of your brain or both sides of your brain.
- Hemiplegic migraine. In this rare type, aura causes weakness on one side of your body .
- Retinal migraine. You have vision changes in one eye before the migraine begins.
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Can Painkillers Like Acetylsalicylic Acid Or Acetaminophen Help
NSAID painkillers have been shown to effectively relieve migraine pain. The most commonly used painkillers in Germany are acetylsalicylic acid , diclofenac, ibuprofen and acetaminophen . Research has shown that these drugs are effective in treating migraine:
- Without painkillers, migraine pain disappeared within two hours in about 10 out of 100 people.
- With painkillers, it disappeared within the same time in about 20 out of 100 people.
In other words, the pain was gone in an extra 10 out of 100 people two hours after taking the medicine. Another 20 out of 100 people can expect some pain relief. The effectiveness of a drug will depend on things like the severity of the migraine and the dose used.
Effectiveness of painkillers
|Dose taken for a migraine attack||Maximum daily dose for adults|
What Is The Link Between Magnesium And Migraines
Studies have found that up to 50% of migraine sufferers have low magnesium levels .
They have also shown that daily magnesium supplements can reduce the frequency and severity of migraines
One study even found that magnesium supplementation was more effective and fast-acting than a common drug used for the treatment of acute migraines .
Still, other research has found no benefit from magnesium supplementation, but this may be because the dose was not high enough .
Also, because magnesium status is so difficult to test, its possible that some studies results are thrown off by including both magnesium-deficient and non-magnesium-deficient patients.
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Tips To Ease Migraine Pain
Even if you avoid triggers and practice healthy habits, you may still experience migraine attacks. Here are some home remedies that might bring relief.
When a migraine attack sets in, all you want is relief. For some people, taking migraine medication can help ease the pain, says , an associate professor of neurology at the University of Maryland Medical Center in Baltimore.
But is there anything else you can do to help shorten the attack or make the symptoms more bearable until the medication starts to work?
If youre in need of migraine first aid, try the following suggestions. Most of these interventions are free and come with no side effects.
Do Any Home Remedies To Treat Migraine Work
You cant relieve a migraine attack instantlyif only! But many people use home remedies in addition to their OTC or prescription medications to help make the pain more manageable.
Its important to have a plan in place, even when you dont have a migraine headache. This can just outline what youll do whenever you feel one coming on because early management can help squash your symptoms before they become debilitating. Keeping your medication handy in multiple places can be invaluable. Then consider trying these pain relief strategies:
- Rest in a dark, quiet room. This can be beneficial because movement, light, and sound can be particularly unpleasant when youre in the throes of a migraine attack.
- Treat it like an injury. Applying a cool compress can help numb the pain in your head, Dr. Csere says: But some people prefer warmth, so if youve tried cool compresses and it doesnt help, warm ones may. Thats because warm temperatures may help relax tense muscles in the head, neck, or shoulders, easing any pain that may be associated with that tension.
- Hydrate, hydrate, hydrate. Becoming dehydrated can make you feel much worse.
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Who Needs Headache Medicine
Headache medicine is needed for people who are constantly hounded by tension headaches, especially those who must endure with the chronic kind. Pain relievers the best medicine for headaches are usually the first medication recommended by doctors. Since they are over-the-counter medications, you will not have problems looking for one.
The best medicine for headaches is also often prescribed for people suffering from a migraine. A migraine is a type of a headache that has so intense that you will often feel like your head is about to break because of the throbbing sensation that appears on one side of the head.
What Is Migraine Exactly
You may think of a migraine as a really bad headachebut the pain that accompanies it is far more severe. Migraine is actually a neurological disease. During an attack, groups of your brain cells become overactive, your blood vessels narrow, and blow flow to your brain shifts, which may contribute to the onset of symptoms, per Johns Hopkins Medicine. To be diagnosed, you have to experience the attacks repeatedly, which means having at least five excruciating headaches lasting 4 to 72 hours each per month, according to the National Institute of Neurological Disorders and Stroke.
Migraine has specific hallmarks to distinguish it from everyday headaches: The pain usually throbs, pounds, and/or pulses . This is usually accompanied by an upset stomach, nausea, or vomiting, which gets worse with physical activity. Migraine can also cause sensitivity to light, noise, and smells.
Migraine headaches can be brought on by triggers and these can vary wildlyanything from specific foods to stress to dehydration can spur an attack. However, not all migraine episodes have triggers, and if they do, you might not know what your individual triggers are. The headaches often feel dull and achy when they begin and gradually become more severe, eventually causing intense, throbbing pain. At their worst, migraine can make your whole head, face, jaw, and neck pulsate with pain.
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Medicines For Nausea Or Vomiting
These medicines are called anti-sickness medicines or antiemetics. They can be helpful to treat migraine even if you don’t experience nausea or vomiting. These are prescribed by your doctor and can be used together with other pain relievers and triptans. Seek medical advice before taking anti-sickness medicines as they are not suitable for some people.As with pain relievers, anti-sickness medicines work better if taken as soon as your migraine symptoms begin. They usually come in the form as tablets, but are also available as a suppository.
Drugs For Migraine Prevention
If you have 4 or more migraine days each month, you may take these drugs regularly to keep migraine attacks from happening. They lessen the number of headaches you have and how severe they are.
You have to follow your doctorâs directions for them to work. Your doctor may need to change the medications and adjust how much you take to figure out what works best for you.
While youâre taking these drugs, write down how often you have headaches and how bad they are to help your doctor judge how well they are working. Most need days or weeks to take full effect.
Once your headaches are under control for 6 months or a year, you might be able to taper off or stop these drugs. Your doctor will advise you.
The medications listed include both over-the-counter and prescription drugs. They aren’t habit-forming, but any medication can have side effects. Your doctor will adjust the dosage to give you the most relief with the fewest side effects.
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Three Traits Of A Good Migraine Doctor
Respondents who were satisfied with their health care providers felt that doctors listen and try to understand their situation, as well as keep an open mind when it comes to trying new medications for migraines.
There are three common themes that MyMigraineTeam members brought up when they talked about their positive relationship with their doctors or other HCPs. Some were pleased that their doctors hear and understand what they are going through and are flexible in trying to help. Others appreciated that they were willing to try new ideas and medications and to keep trying and trying, if necessary. In addition, when the doctors can help them manage or control migraines and symptoms, respondents felt like the doctor had helped.
|1) LISTENS TO ME/UNDERSTANDS WHAT I AM GOING THROUGH|
What MyMigraineTeam members say about doctors who listen:
- My neurologist actively listens and asks a ton of questions in order to figure out the best way to treat me.
- He listens to me and is compassionate. He prescribed several different drugs before we were able to find what worked for me If I have a migraine during office hours, I can call his office and go there for treatment rather than go to urgent care.
|2) WILLING TO TRY NEW IDEAS|
MyMigraineTeam members on doctors who try new approaches:
|3) HELPS ME MANAGE THE PAIN|
MyMigraineTeam members on doctors who find effective treatments for their migraines:
What Are Some Risks With Otc Migraine Medications And Who Should Avoid Them
With all OTC migraine medications, theres a risk of developing whats called a medication overuse headache . MOH is a headache that happens if you use OTC migraine medications for too long, or more than 10 to 14 days a month. If you find yourself needing migraine relief this often or more, talk to your healthcare provider about whether you might need a stronger prescription migraine treatment.
In addition to preventing MOH, youll want to take a few more precautions depending on the specific ingredient your OTC migraine treatment includes.
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How To Use Imitrex
Take this medication by mouth with or without food as directed by your doctor, at the first sign of a migraine. The dosage is based on your medical condition and response to treatment. If there is no improvement in your symptoms, do not take more doses of this medication before talking to your doctor. If your symptoms are only partly relieved, or if your headache comes back, you may take another dose at least two hours after the first dose. Do not take more than 200 milligrams in a 24-hour period.
This medication may also be used as a backup for sumatriptan injection. If your symptoms are only partly relieved or your headache comes back, you may take a dose of sumatriptan by mouth at least two hours after the injection, up to a maximum of 100 milligrams in a 24-hour period.
If you have a higher risk for heart problems , your doctor may perform a heart exam before you start taking sumatriptan. He/she may also direct you to take your first dose of this medication in the office/clinic to monitor for serious side effects . Talk to your doctor for details.
Fortified Whole Grain Cereal
According to the U.S. National Library of Medicine, consuming adequate amounts of riboflavin can help keep migraines at bay. Thankfully most cereals are fortified with the nutrient, so it’s super easy to sneak it into your daily diet. Wheaties, Fiber One, and All Bran are all Eat This-approved and overflowing with the soothing nutrient. Curious which cereals to steer clear of? Check out our special report about the unhealthiest breakfast cereals.
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Which Medications Are Suitable For Children And Teenagers
Medications sometimes have different effects in children and teenagers than they do in adults. They need other doses, and some of the side effects are also different. The following medications have been approved in Europe for the treatment of migraines in children and teenagers:
- acetaminophen : for children ages 12 and up, also in combination with metoclopramide
- sumatriptan: as a nasal spray for children ages 12 and up
It’s not clear whether acetaminophen can relieve migraine symptoms in children and teenagers. Several studies show that ibuprofen can help relieve migraine attacks. There were no serious side effects in the studies involving children with migraines. Mild side effects like stomach ache were rare.
The sumatriptan nasal spray also helped relieve migraine attacks in children and teenagers. Mild side effects were more common though, such as an unpleasant taste or nausea.
Children and teenagers can also be prescribed medication that hasn’t been approved for their age group. This is known as “off-label use.” If your doctor prescribes a medication off-label, then he or she needs to explain why and tell you about the associated risks.
What Is An Aura
An aura is a group of sensory, motor and speech symptoms that usually act like warning signals that a migraine headache is about to begin. Commonly misinterpreted as a seizure or stroke, it typically happens before the headache pain, but can sometimes appear during or even after. An aura can last from 10 to 60 minutes. About 15% to 20% of people who experience migraines have auras.
Aura symptoms are reversible, meaning that they can be stopped/healed. An aura produces symptoms that may include:
- Seeing bright flashing dots, sparkles, or lights.
- Blind spots in your vision.
- Numb or tingling skin.
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What Are The Warnings And Precautions With Migraine Medications
In 2006, the FDA warned about combining triptan drugs with selective serotonin reuptake inhibitors and selective norepinephrine reuptake inhibitors . Taking the drugs together could cause an overload of serotonin in the body, causing what is known as the “serotonin syndrome.â Symptoms of this life-threatening condition include a rapid increase in blood pressure, fast heart rate, and increased body temperature.
The 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.