Personal Migraine Emergency Action Plan

Patient Information

Name: _________________________ Date: _________________________ Emergency Contact: _________________________

Early Warning Signs (Check all that apply)

• Visual aura or flashing lights
• Neck stiffness
• Food cravings
• Sensitivity to light
• Nausea
• Other: _________________________

Step 1: At First Sign of Migraine

Medications

• Primary medication: _________________ Dose: _________
• Take within _____ minutes of first symptoms
• Additional instructions: _________________________

Non-medication Steps

1. Move to a quiet, dark room
2. Apply cold/hot compress to neck or head
3. Stay hydrated
4. Practice deep breathing exercises

Step 2: If Pain Persists After 2 Hours

Rescue Medications

• Secondary medication: _________________ Dose: _________
• Maximum doses per 24 hours: _________

When to Seek Emergency Care

• Worst headache of life ("thunderclap")
• Neurological symptoms (weakness, speech problems)
• Fever over 102°F (39°C)
• Neck stiffness with fever
• Vision loss

Prevention Plan

Known Triggers

Preventive Medications

• Daily medication: _________________ Dose: _________
• Time of day: _________

Healthcare Provider Information

Name: _________________________ Phone: _________________________

_Last Updated: _________________