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Migraine Treatment

There is no cure for migraine. The goal is to control the symptoms and prevent further attacks.

Rest in a quiet, darkened room. This will often reduce the severity of the symptoms. Drink fluids to prevent dehydration, especially if vomiting occurs.

Several medications may help relieve symptoms. However, the effectiveness of migraine medications is highly variable in different people. If a medication has been effective in relieving a previous migraine, it may be tried before others.

Over-the-counter medicines may help reduce pain if they are taken early in the headache. If these are ineffective, talk to your doctor about other options.

Ergotamine tartrate preparations constrict the arteries of the head and may be used alone or in combination with other drugs such as caffeine (Cafergot), phenobarbital, or Fioricet.

Propoxyphene or other medications that relieve pain or inflammation may provide relief for some people. Nausea should be treated early with Reglan, Compazine, or other anti-emetics.

Some medicines can prevent migraines. These include propranolol, amitriptyline, ergonovine, cyproheptadine, clonidine, methysergide, calcium channel antagonists, valproic acid, carbamazepine, topiramate (Topamax), and many others.

Several medications may need to be tried before you find one that works. A class of drugs known as triptans can relieve a migraine once it starts. Various triptans can be injected, taken as a pill, or dissolved under the tongue.

There's really no known cure for migraine treatment but there are some medications that can decrease the severity of the attack of the migraine. There are also some preventive drugs that can be used to prevent the migraine attack. Medically, there is some evidence that aspirin when taken along with drugs that helps with nausea like metoclopramide may decrease the symptoms of migraine.

Ideally, identifying what triggers your migraine may help you avoid the migraine attack. Triggers for different people varies as some individual may react to a certain trigger like red wine which other people may not but may have a sudden attack if they have eaten chocolates.

The first medicine that is used for migraine treatment is acetaminophen like Tylenol and NSAIDs or nonsteroidal anti-inflammatory drugs like aspirin, naproxen sodium and ibuprofen.

Some physicians prefer that their patients try the NSAIDs as part of initial treatment before they allow their patients to use preventive drugs because preventive drugs have greater side effects.

The most common drugs that are used for migraine treatment are:

  • NSAIDs or Nonsteroidal anti-inflammatory drugs like aspirin
  • Triptans - these are the first common medicine to stop migraine attack
  • Midrin - combination of the drugs of acetaminophen, dichloralphenazone and isometheptene
  • Ergotamine derivatives like Cafergot but these medications may not give positive results like other medications for migraine.

The most common preventive drugs for migraine are:

  • Calcium channel blockers - decreases the constriction of the blood vessels
  • Beta Blockers - Relax the blood vessels
  • Anticonvulsants
  • Antidepressants

Other therapies that may be useful for migraines are:

  • Acupuncture
  • Biofeedback
  • Relaxation techniques
  • Taking vitamin B2

But before taking any alternative therapies, make sure to consult your doctor about it.



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