Treating Migraine

Medications

Pain medications are often required to ease or stop the pain. Over-the-counter pain pills may ease mild symptoms.

Warning: Continuous use of some over-the-counter medications may cause what is called a "rebound headache" when you stop taking the medication.

Some prescription medications act directly to stop the cause of the migraine headache. These include drugs that:

• Quiet nerve pathways
• Reduce inflammation
• Stimulate receptors for serotonin, a brain hormone

These drugs can be taken by mouth (swallowed), but they may act more quickly in forms that dissolve in the mouth, are inhaled through the nose, or injected. Your doctor can help you choose the medication and route of administration most effective for you. Abortive medications include ergots, triptans, steroids, and nonsteroidal anti-inflammatory drugs (NSAIDS).

Other drugs can help prevent migraines for people suffering from frequent migraines. Preventive drugs are taken every day, even if you do not have a headache. Classes of preventative medications include beta-blockers, calcium channel blockers, tricyclics, and anticonvulsants.

Self-care During the Migraine

• Apply cold compresses to painful areas of your head
• Lie in a dark, quiet room
• Massage your scalp and temples
• Try to fall asleep

Lifestyle Changes

• Keep a diary to help identify what triggers migraines and what helps relieve them.
• Learn stress management and relaxation techniques.
• Consider talking with a counselor to learn new coping skills and relaxation techniques.
• Exercise regularly.
• If you are a smoker, quit . Smoking may worsen a migraine, and it probably also increases the rare chance of stroke occurring during a migraine attack. This is especially true if you are a women taking birth control pills or other hormone replacement therapy.
• Avoid foods that trigger migraines.
• If low blood sugar precedes your migraines, eat small meals more often.
• Do not change your regular sleep pattern during the weekend or during vacation.