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Discussion in 'All Categories' started by Gautam - Jun 15th, 2024 10:42 am.
I have problem of migraine. What are the most effective treatments for migraines? Are there any preventive medications or therapies available?
re: Migraine by Dr. B. S. Bhalla - Jun 15th, 2024 10:44 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Migraines can be quite debilitating, but there are various treatments and preventive measures that can help manage and reduce their frequency and severity. Here are some of the most effective treatments and preventive options:

Acute Treatments

These are used to relieve symptoms once a migraine attack starts:

Pain Relievers: Over-the-counter medications like ibuprofen (Advil), acetaminophen (Tylenol), and aspirin.

Triptans: Prescription medications such as sumatriptan (Imitrex), rizatriptan (Maxalt), and zolmitriptan (Zomig) can help reduce the severity of migraines.

Ergotamines: Medications like dihydroergotamine (Migranal) and ergotamine (Ergomar) are used for severe migraines.

Anti-nausea Drugs: Metoclopramide (Reglan) or prochlorperazine (Compazine) can help if nausea is a prominent symptom.

CGRP Receptor Antagonists: Newer medications like ubrogepant (Ubrelvy) and rimegepant (Nurtec) can be effective.

Preventive Medications

These are taken regularly to reduce the frequency and severity of migraine attacks:

Beta Blockers: Medications like propranolol (Inderal) and metoprolol (Lopressor) are commonly used.

Antidepressants: Tricyclic antidepressants like amitriptyline can help prevent migraines.

Anti-seizure Medications: Valproate (Depakote) and topiramate (Topamax) are often prescribed.

Calcium Channel Blockers: Verapamil (Calan) may be effective for some people.

CGRP Monoclonal Antibodies: Erenumab (Aimovig), fremanezumab (Ajovy), and galcanezumab (Emgality) are newer options designed specifically to prevent migraines.

Botox Injections: OnabotulinumtoxinA (Botox) injections are approved for chronic migraine prevention.

Non-Pharmacological Therapies

Lifestyle Modifications: Regular sleep, healthy diet, adequate hydration, and regular exercise can help.
Stress Management: Techniques like mindfulness, meditation, yoga, and cognitive-behavioral therapy (CBT) can be beneficial.

Acupuncture: Some find relief with acupuncture treatments.

Biofeedback: This technique teaches control over physiological functions that can help reduce migraine frequency.

Supplements and Natural Remedies

Magnesium: Some studies suggest that magnesium supplements can reduce migraine frequency.

Riboflavin (Vitamin B2): Taking high doses of riboflavin may help prevent migraines.

Coenzyme Q10: This supplement might reduce the frequency of migraines.

Herbal Supplements: Feverfew and butterbur have shown some effectiveness in preventing migraines.
Trigger Management

Identifying and avoiding triggers can also be crucial in managing migraines. Common triggers include certain foods and drinks, stress, hormonal changes, sensory stimuli, changes in sleep patterns, and physical exertion.
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