Managing Your Migraines: A Comprehensive Treatment Guide

Understanding Your Options for Migraine Relief and Prevention

Neurology

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Last updated: Mar 24, 2025

Understanding Your Treatment Options

Acute Treatments (During a Migraine)

Over-the-Counter Medications

  • NSAIDs (ibuprofen, naproxen)
  • Acetaminophen
  • Combination medications with caffeine

Prescription Medications

  • Triptans (sumatriptan, rizatriptan)
  • CGRP antagonists (ubrogepant, rimegepant)
  • Anti-nausea medications when needed

Preventive Treatments

Daily Medications

  • Beta blockers
  • Calcium channel blockers
  • Anti-seizure medications
  • CGRP monoclonal antibodies

Lifestyle Modifications

  • Regular sleep schedule
  • Stress management
  • Regular meals
  • Adequate hydration
  • Exercise routine

Identifying and Managing Triggers

Common Triggers to Monitor

  • Food and drink (caffeine, alcohol, certain additives)
  • Environmental factors (bright lights, loud sounds)
  • Hormonal changes
  • Stress levels
  • Sleep patterns

Creating Your Migraine Action Plan

Early Warning Signs

  1. Document your symptoms
  2. Start treatment promptly
  3. Find a quiet, dark place if possible
  4. Stay hydrated
  5. Use cold/hot compresses as needed

When to Seek Medical Care

Contact Your Healthcare Provider If:

  • Treatments stop working
  • Migraines become more frequent
  • New symptoms develop
  • Side effects occur

Emergency Situations

Seek immediate care for:

  • Sudden, severe headache
  • Headache with fever and stiff neck
  • Neurological symptoms that don't resolve
  • Vision changes that persist

Tracking Your Progress

Keep a Migraine Diary Including:

  • Frequency and duration
  • Trigger factors
  • Treatment effectiveness
  • Impact on daily activities

Additional Support

  • Support groups
  • Stress management classes
  • Regular follow-up with healthcare provider
  • Complementary therapies as recommended

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