A member asked:

What is the best otc medication to prevent and treat migraine headache?

3 doctors weighed in across 2 answers
Dr. Paul Grin answered

Specializes in Pain Management

NSAIDs: The use of NSAIDs to prevent migraine is usually recommended during those time periods in which a migraine is most likely to be triggered. To lessen the need for acute pharamcologic therapy, prophylactic drug therapy and nonpharmacologic therapies are used. Some patients who experience frequent severe headaches may require both abortive and prophylactic therapy. Hope it makes sense?

Answered 5/15/2014

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NSAID's to treat: For ACUTE treatment best OTC's in my opinion with evidence based studies would be NSAIDS (ibuprofen/Motrin or Excedrin). However, I caution you that treating severe migraines with NSAID's using OTC takes knowledge and skill in order to avoid the common pitfall of overtreating. For PREVENTION- feverfew & butterbur but CAUTION! Butterbur- Severe liver damage if not properly purified and labeled.

Answered 5/15/2014

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