Understanding Your Migraine Treatment Options

Answers to Common Questions About Migraine Management

Neurology

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Last updated: Mar 24, 2025

Acute Treatments

Over-the-Counter Medications

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

Prescription Medications

  • Triptans
    • Work by targeting serotonin receptors
    • Available in various forms (oral, nasal, injectable)
  • CGRP antagonists
    • Newer class of medications
    • Specifically designed for migraines

Preventive Treatments

Daily Medications

  • Beta blockers
  • Calcium channel blockers
  • Anticonvulsants
  • CGRP monoclonal antibodies

Non-Medication Options

  • Lifestyle modifications
    • Regular sleep schedule
    • Stress management
    • Dietary changes
  • Alternative therapies
    • Acupuncture
    • Biofeedback
    • Cognitive behavioral therapy

When to Seek Emergency Care

  • Sudden, severe headache ("thunderclap")
  • Headache with fever and stiff neck
  • Neurological symptoms lasting >1 hour
  • Vision changes that don't resolve

Treatment Success Tips

  1. Keep a migraine diary
  2. Take medications early in attack
  3. Maintain regular follow-up with healthcare provider
  4. Identify and avoid personal triggers
  5. Consider combination therapy when recommended

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