2 doctors weighed in:

What treatments are available for nocturnal migraines?

2 doctors weighed in

In brief: Prevention

If these are awakening you in midst of night, these could be cluster headache variants or some other headache variant, and best to use preventative meds.
Consider topirimate, divalproex, tricyclics, beta-blockers, calcium channel blockers, but maybe otc items such as riboflavin, butterbur, co-q-10, feverfew. On occasion, inhalation of 100% oxygen can stop the headache.

In brief: Prevention

If these are awakening you in midst of night, these could be cluster headache variants or some other headache variant, and best to use preventative meds.
Consider topirimate, divalproex, tricyclics, beta-blockers, calcium channel blockers, but maybe otc items such as riboflavin, butterbur, co-q-10, feverfew. On occasion, inhalation of 100% oxygen can stop the headache.
Thank
Dr. Randolph Evans
Neurology

In brief: Triptans

Migraines often awaken people from sleep and can be severe.
If an oral triptan (such as sumatriptan, sumatriptan/ naproxen/sodium, eletripan, rizatriptan, etc) does not work, then subcutaneous sumatriptan may be more effective helping up to 80% of people.

In brief: Triptans

Migraines often awaken people from sleep and can be severe.
If an oral triptan (such as sumatriptan, sumatriptan/ naproxen/sodium, eletripan, rizatriptan, etc) does not work, then subcutaneous sumatriptan may be more effective helping up to 80% of people.
Thank
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