Doctor insights on:
What Helps Migraine
Headache: There are many proposed theories on the causes of migraines from blood vessel constriction to cortical spreading depression. Some try avoiding triggers, but there is not good evidence for this. Sinus headache originates from sinus inflammation and swelling, not from within the brain as in migraine. Symptoms like nausea, vomiting, and visual changes or aura can help differentiate the two. ...Read moreSee 1 more doctor answer
Migraines: A migraine is a vasospasm of a blood vessel in the brain. There are many symptoms. The common migraine's hallmark is a severe headache. The headache may be accompanied by nausea and vomiting, sensitivity to light and sound. Sometimes, migraines are signaled by an "aura, " which may be a visual symptom such as flashing lights or wavy lines followed by a headache. Common triggers - caffeine, stress. ...Read moreSee 3 more doctor answers
Migraines - familial: Both migraine and cluster headaches run in the family, and both are related to changes in blood vessels going to the head. Migraines may start in childhood, while cluster headaches are suffered by adults. Cluster headaches are almost always limited to one side of head, and are usually much more severe, and last for many days while migraines last for hours. Tension headaches come from muscles. ...Read more
Abortive Therapy: For more severe attacks, an abortive medication such as dihydroergotamine (DHE), sumatriptan (Imitrex) or one of the newer triptan medications is often prescribed. Recent research findings suggest that the efficacy of treatment may depend more on the phase of the migraine attack at which the medication is administered rather than the specific medication. ...Read moreSee 4 more doctor answers
Pain resolution: When patients are asked this question in studies, the answer that most give is complete resolution of pain that doesn't return. This is what you should be looking for in a treatment. It is not always completely successful, but there are agents that can greatly help reduce the frequency and intensity of the pain and other symptoms. ...Read moreSee 2 more doctor answers
Family practice : I think you mean topamax (topiramate). This is used for a lot of things including migraines. It is pretty well tolerated. It is a preventative measure. If you have breakthrough migraines then something else should be taken. The topamax (topiramate) dose can be adjusted as tolerated. ...Read more
Most HA = migraine: Although there are scientific answers, this is how i think of it. Tension headaches are the headaches you get from working long hours that don't send you to the doctor. Migraines tend to happen more frequently with more severe pain. During a migraine people often want to not have any stimulation, and lying down can often help. Lights, sounds, and smells can aggravate migraines. ...Read more
Many things: This is a good question.. It depends on several factors. Most important is the cause of the depression. I suggest a consultation with a psychiatrist for clarification and treatment. Usually psychotherapy, physical activity and, if necessary, medication can be effective. Ask your family doc for a referral to a therapist sooner rather than later. ...Read moreSee 1 more doctor answer
Some meds help: These really are hard to prevent. There are multiple meds, a bad sign that none are really effective. tops ax, inderal, some calcium channel blockers and even NSAIDs especially in teens. Abortive treatment with onset of symptoms, like Imitrex (sumatriptan) type meds. There is a whole new class of meds to prevent that are in trials now. They seem effective in close to 80% in prevention. ...Read more
Headaches: Referral by your pcp to a neurologist. ...Read more
Migralex and Imitrex (sumatriptan): Migralex is a rapidly acting non-prescription medicine which contains Aspirin and magnesium but not caffeine and which is safer than many other medications (you can buy it on migralex.Com and amazon.Com). Imitrex or sumatriptan is a prescription drug for migraine headaches and can be tried if migralex is ineffective. If neither drug provides complete relief, they can be taken together. ...Read moreSee 1 more doctor answer
Depends: It depends upon how often you have them. If they are only occasional then drugs like imitrex (sumatriptan) are very good at preventing a migraine if you take it very early at onset of a headache. if the headaches are very frequent then a preventive medication may be more helpful if taken every day. There are several classes of medicines to prevent migraines. Your doctor can help you decide if that is needed. ...Read more
Botox: You may want to consider having your doctor/headache specialist see if Botox can be approved for your migraine headaches. If it works you could have significantly less migraines for at least 3-4 months at a time. Many times people's migraines are cut in half if not more. The use of your oral migraine prevention medications and abortives are much more helpful and reduce occurrences even better. ...Read moreSee 2 more doctor answers
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