Managing and Preventing Migraines: A Comprehensive Guide

Evidence-based strategies for migraine control and prevention

Neurology

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Last updated: Mar 24, 2025

Understanding Migraine Prevention

Lifestyle Modifications

  • Regular Sleep Schedule
    • Maintain consistent sleep-wake times
    • Aim for 7-9 hours of sleep nightly
  • Stress Management
    • Practice relaxation techniques
    • Consider meditation or yoga
    • Schedule regular exercise

Dietary Considerations

  • Common Triggers to Avoid
    • Aged cheeses
    • Processed foods
    • Caffeine excess
    • Alcohol, especially red wine
    • MSG-containing foods
  • Healthy Habits
    • Stay hydrated (8-10 glasses daily)
    • Eat regular meals
    • Maintain stable blood sugar

Environmental Factors

  • Light Management
    • Reduce bright screen exposure
    • Use anti-glare filters
    • Consider FL-41 tinted glasses
  • Sound and Scent Control
    • Minimize loud noise exposure
    • Avoid strong perfumes

Treatment Approaches

Preventive Medications

  • First-line Options
    • Beta-blockers
    • Calcium channel blockers
    • Anti-seizure medications
  • CGRP Antagonists
    • Monthly injectable options
    • Oral preventive medications

Acute Treatment

  • Early Intervention
    • Take medication at first signs
    • Use prescribed triptans as directed
  • Complementary Methods
    • Ice/heat therapy
    • Dark, quiet environment
    • Gentle neck stretches

Tracking and Prevention

  • Maintain a Headache Diary
    • Record triggers
    • Track medication effectiveness
    • Note pattern changes
  • Regular Medical Follow-up
    • Schedule preventive visits
    • Review treatment efficacy
    • Adjust plans as needed

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