1 doctor weighed in:
Complex migraines are getting worse. Why?
1 doctor weighed in

Dr. Randolph Evans
Neurology
In brief: Triggers
Triggers may be responsible such as lack of sleep, stress, food, alcohol, menses, etc.
Medication rebound can also be a factor with use of over the counter drugs, opioids, or triptans more than twice a week or butalbital combinations more than 5 days per month. Occasionally, birth control pills with estrogen can make migraines worse and may be contra-indicated in this type of migraine.

In brief: Triggers
Triggers may be responsible such as lack of sleep, stress, food, alcohol, menses, etc.
Medication rebound can also be a factor with use of over the counter drugs, opioids, or triptans more than twice a week or butalbital combinations more than 5 days per month. Occasionally, birth control pills with estrogen can make migraines worse and may be contra-indicated in this type of migraine.
Dr. Randolph Evans
Dr. Randolph Evans
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