A migraine headache is different from other types of headaches. It often occurs with other symptoms, including nausea and visual disturbances. It can severely impact a person’s ability to function.
A migraine attack can last
Migraine can have a severe impact on a person’s quality of life. However, some strategies can help manage symptoms or reduce the frequency and severity of attacks.
In this article, find out about six options that may help manage or prevent migraine.
Various over-the-counter and prescription drugs can help manage migraine.
Nonsteroidal anti-inflammatory drugs
These medications are available over the counter.
- aspirin (acetylsalicylic acid)
- diclofenac (Voltaren)
- naproxen (Aleve)
They are easily available and relatively inexpensive. They can help manage mild and moderate attacks of migraine.
Triptans are serotonin receptor agonists. This means they selectively activate serotonin receptors to boost serotonin levels.
Some researchers suggest that low serotonin levels may play a role in migraine attacks. Studies have not confirmed this, but triptans appear to help manage migraine.
- eletriptan (Relpax)
- rizatriptan (Maxalt)
- sumatriptan (Imitrex)
- zolmitriptan (Zomig)
- almotriptan (Axert)
The authors of a
It is of note that triptans can have adverse effects, such as:
- pain in the neck, jaw, or chest
- chest pressure
- skin irritation
Ergotamine tartrate combines ergotamine and caffeine. It
Experts do not know precisely how this combination works.
Ergotamine is a vasoconstrictor, which means it causes blood vessels to become narrower. It may also help boost dopamine levels and reduce levels of calcitonin gene-related protein (CGRP), which tend to be high in people with migraine.
CGRP plays a role in pain signaling and the widening and narrowing of blood vessels. Migraine medications often aim to reduce levels of CGRP.
Caffeine may help by making ergotamine easier to absorb and reducing the risk of acidity in the stomach. It may also enhance mood and alertness.
However, this combination can have adverse effects, including:
- muscle pain
For this reason, doctors prefer to prescribe another drug, unless a person has frequent attacks or attacks that last longer than
They are available on prescription.
Doctors sometimes prescribe drugs that target other conditions to help prevent migraine.
These may include:
antihypertensives, such as beta-blockers and calcium channel blockers, which target high blood pressure anticonvulsants, for instance, topiramate (Topamax), a treatment for both seizures and migraine antidepressants, such as amitriptyline and nortriptyline, which can help preventmigraine, but there is a risk of withdrawal symptoms if a person stops using them abruptly
- CGRP inhibitors, such as erenumab (Aimovig), which aim to reduce levels of CGRP in the body
Lasmiditan (Reyvow) is a new type of drug with FDA approval for treating acute migraine without aura in adults. It works by targeting the 5-hydroxytryptamine receptor.
In trials, over
Some people use supplements to prevent migraine, although there is
A person should always check with a doctor before using supplements, as they may not be safe for everyone. They can also interact with other drugs.
In a small study, people with migraine took 100 milligrams of coenzyme Q10 per day, alongside their usual medication.
It appeared to
However, there is
Magnesium plays a
Melatonin is a hormone that helps regulate the sleep-wake cycle.
Some research indicates it may be beneficial for migraine and have fewer side effects than other drugs. However, more studies are necessary to confirm its effectiveness and safety.
Butterbur refers to
It also says feverfew may reduce:
- the frequency of attacks
- nausea and vomiting
- light sensitivity
However, results have not been consistent.
Neuromodulation therapy works by stimulating the brain or spinal cord to promote or suppress various functions of the central nervous system. Sometimes, implanted devices deliver the stimuli.
Various devices have FDA approval for treating migraine. Here are two options:
Single-pulse transcranial magnetic stimulation
This device stimulates the brain through magnetic impulses. A device placed over a person’s head generates these impulses.
Transcutaneous supraorbital nerve stimulation
A device placed on a person’s forehead generates magnetic impulses. The impulses stimulate the supraorbital nerve, which allows them to travel through the forehead to the scalp, eyes, and sinus.
Vagus nerve stimulation
gammaCore is a vagus nerve stimulation device that received FDA approval for treating migraine in 2018.
To use the device, a person will need to do the following:
- Locate the vagus nerve on the neck.
- Apply a gel.
- Switch on the device and apply it to the neck.
It may help those who experience frequent attacks and wish to avoid using drugs due to concerns about medication overuse headaches, according to the American Headache Society.
Transcutaneous electrical nerve stimulation
People use transcutaneous electrical nerve stimulation (TENS) machines to relieve pain from various sources. The machine delivers low voltage electrical currents across the surface of the skin. The current stimulates the nerves under the skin, and this helps relieve pain.
Nerivio Migra is one TENS device that has FDA approval for treating migraine. It is a wearable device that provides electrical pulses to the upper arm. Each treatment lasts 45 minutes. The person controls the device through an app on their cellphone.
Meditation may help relieve stress and pain, and research suggests it can improve tolerance to pain in the case of migraine.
In the study, the researchers randomly assigned people living with migraine to practice one of several relaxation techniques. Those who practiced spiritual meditation had fewer migraine attacks and a stronger pain tolerance threshold, according to the study.
The author of a
A type of Botulinum toxin, or Botox, called onabotulinumtoxinA (OBTA)
A specially trained professional will inject OBTA under the skin or into the muscles in the head, neck, and forehead. A person will need 31 or more small injections every 3 months.
Tips for managing a migraine attack include:
- sleeping or lying in a darkened room
- for some people, eating something, if they are not vomiting
- taking medication as soon as symptoms appear
- using soluble pain relief medication, which dissolves in water, as the body will absorb it more quickly
- using suppositories for pain relief if a person has nausea or vomiting
These tips are unlikely to make the migraine disappear, but they may help individuals feel more comfortable.
Below, we answer some questions people often ask about migraine.
How can I get rid of migraine fast?
It is not always possible to get rid of migraine quickly.
However, taking medication as soon as symptoms appear may prevent a severe attack. Pain relief medication that dissolves in water may work more quickly than tablets.
What causes migraine?
Experts do not know what causes migraine. Factors in the nervous system
In individuals who tend to experience migraine, triggers include stress, hormonal changes, and lack of sleep.
How long can migraine last?
A migraine attack usually lasts
How do I know whether I have migraine?
Migraine usually involves an intense headache and other symptoms. Changes such as visual disturbances may occur before the headache.
The headache usually starts around one eye — often the left — and then radiates to the rest of the head. Many people are unable to continue with their daily routine during a migraine attack.
Migraine involves an intense headache and often also nausea and vomiting. It is a chronic condition, which means a person is likely to have more than one episode.
Ways of treating migraine include medication to manage pain and vomiting. Some drugs may help prevent migraine attacks or reduce the severity of symptoms.
A doctor can help a person decide on the options, or a combination of options, that suit them best.