Usually, the triggers are partial and dependent on: You may not get a migraine after drinking a glass of red wine, but a glass of red wine plus a night of poor sleep can happen. out, said Dr. Cowan. A headache diary can also help you identify triggers and find out if you have chronic migraine, defined as having headaches 15 or more days per month for more than three months. and when at least eight of those headache days are migraine-like features.
Based on your symptoms and their frequency, your doctor may recommend preventive migraine treatments to prevent a headache from starting. These medications include antidepressants like amitriptyline, blood pressure medications like propranolol, and seizure medications including valproate, Dr.
The problem with these drugs is that often “they have unpleasant side effects,” says Dr. Cowan, so they are not always recommended or tolerated. I took propranolol for a short time to control my migraines, but every time I exercised, I felt dizzy and fainted.
Your doctor may recommend medication at the onset of a migraine to ease your symptoms, alongside or in place of preventive treatments. To treat migraines after their onset, doctors have long prescribed triptans — drugs like sumatriptan that help reduce inflammation and blood vessel constriction — and anti-inflammatory pain relievers like ibuprofen. But these methods don’t always work, and triptans can cause side effects like nausea and dizziness.
If you’re not in remission, discuss new treatments with your doctor.
Over the past 5 years, several new drugs and devices have been approved for the prevention and acute treatment of migraine.
Ozudogru explains that many of these drugs block the action of a pain-related protein called CGRP. These include, to prevent migraines, periodic injections or intravenous injections of monoclonal antibodies. There are also pills, called gepants and ditans (with brands like Nurtec ODT, Ubrelvy, and Reyvow) that can be taken at the onset of a migraine to block the action of the CGRP Rimegepant (Nurtec ODT) has been given. FDA approval to prevent and treat migraines, said Dr. Ozudogru, which is remarkable because most medications only have one effect or another.