According to the severity of the patient's headaches, the presence of nausea or vomiting, the patient's response to the drug, and the presence of such comorbid conditions as depression or epilepsy.
Abortive medications are taken at the first sign of a migraine attack. About 20% of migraine patients have headaches preceded by an aura, or brief period of warning symptoms.
Medications for migraine come in three different categories. Symptomatic medications treat migraine symptoms, such as headaches or nausea. Abortive therapy stops a migraine headache. Finally, preventative therapy helps stop migraines before they start. Common medications that can help with migraines include ibuprofen, which is in Advil and Motrin, aspirin, as well as acetaminophen, which is found in Tylenol. Medication is most effective when used in combination with diet and lifestyle changes as well as exercise.
Abortive medications include triptans, ergot alkaloids, NSAIDs, combination analgesics, and antiemetics.
Migraine Headache Treatment: Preventive and Abortive Migraine Medication Migraine medicines can prevent a migraine attack while others are available for when the pain becomes intense. Here are the options from our doctors at eMedicinehealth.com. Headache Medications: Tips on Taking Them Finding the right migraine medication takes time. It also means following certain guidelines.
Treatment that is given to stop or ease the pain of a migraine headache after it has started is known as acute or abortive treatment.
Maxalt (rizatriptan) is an abortive migraine medication, utilizing its function as a serotonin reuptake agonist to break into changes occurring in neurotransmitters during a migraine attack. One of these changes includes constricting dilated blood vessels. Midrin contains three different medications - acetaminophen (Tylenol), Dichloralphenazone (a combination sedative and pain reliever), and Isometheptene (a vessel constricting medication). Due to both medications containing properties which constrict blood vessels, you should ask your headache specialist prior to taking these two medications together.
Axert (almotriptan) is an abortive migraine medication. Triptan medications work by working with serontonin receptors in the brain to decrease the inflammation that occurs during a migraine attack, effecting both blood vessels and nerves. As an abortive medications, it can stop a migraine in its tracks, relieving both pain AND neurological symptoms. Keep in mind that there are many different kinds of triptan medication now. Just because one doesn't work for you, does not mean none of them will. Also, some of the triptan medications have different ways to administer them. Imitrex has injections, as well as a nasal spray and tablet. Maxalt has a subligual tablet which melts under the tongue, and Zomig does as well. These can be especially useful if nausea and vomiting is a predominant symptom of your migraines, because it offers you ways to get the medication in your system without worrying about throwing it up.
Imitrex (sumatriptan) was the first in its class - an abortive drug approved by the FDA for treatment of Migraine. For best results in diagnosis and treatment of Migraine and other headache disorders, seek the help of a board certified headache and Migraine specialist.
Very few migraine medications are controlled substances. The only ones that are are the medications which only treat pain and are not geared directly toward migraine. It is much better to try the medications which ARE geared directly toward migraine, because only taking pain medications will simply cover up the pain instead of the aborting the migraine, and medication-overuse can expose you to rebound headache, which can cause transformed migraine due to medication-overuse, a version of Chronic Daily Headache. None of the triptans are controlled substances. None of the preventative medications (which are all blood pressure medications, anti-seizure medications, or anti-depressants, etc..in other words, in other categories) are controlled substances.
With any abortive medication, the earlier in the attack you are able to take the medication, the stronger chance it has to work. Magnesium may be able to act as an abortive in even a two day migraine when provided as a rapid infusion via IV - able to get into the body's tissues more easily. At two days into the migraine, other medications may need to be paired with the magnesium.Normal magnesium supplements are meant as preventative treatment for migraines. When you are deficient in magnesium (or many other nutrients), it takes time to build your levels up to a place where your body is consistently getting what you need so that it can work efficiently.
Treating your Migraine attack as soon as possible is generally key to the best outcomes. Abortive medicines such as triptans and ergotamines are designed to stop the attack, while rescue medicines and pain medicines cover up the associated pain of the attack while hopefully allowing the patient to recover on their own. Pain medicines are not first line medications for Migraine because they do not address the root of the problem. Migraine is a genetic, neurologic disease. While it causes pain, it is not a pain condition, it is a neurologic condition. For appropriate diagnosis, treatment and management of Migraine, please seek the help of a board certified Migraine and headache specialist who has had additional training and experience in headache medicine.
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