Physician Recommendations on What to Keep away from With Migraines

What for those who might ask a number of the nation’s prime migraine medical doctors for recommendation on learn how to get management of your complications? We did!

First, Cease the Self-Blame

“Sufferers come to me and say, ‘Oh, I shouldn’t have had that tumbler of wine once I went out to dinner,’ or ‘I shouldn’t have stayed up so late.’ So much of my migraine sufferers are kind A personalities who’re very profitable and overachievers. I inform them it’s OK to slide up each now and again. You’ll be able to’t stop your migraines 100%. Berating your self solely raises your stress ranges, and we all know stress is a prime set off of migraine.”

Mary Ann Mays, MD

Drop the Additional Kilos

“We’ve identified for some time that people who find themselves overweight usually tend to get migraines. They’re additionally extra more likely to have power migraine, which implies they get at the very least eight a month. One concept is that your further fats cells produce inflammatory proteins that set off these complications. The excellent news is for those who shed some pounds, analysis exhibits your migraines will enhance.”

Alan Rapoport, MD


Ditch the ‘Headache Food plan’

“About 30% of migraine sufferers have at the very least one meals set off. However the record of meals that may probably trigger issues is overwhelming. Additionally, a lot of the details about meals triggers is anecdotal, not based mostly on research. That’s why I don’t advocate that my sufferers go on a selected ‘headache’ weight loss program or keep away from sure meals. Why pressure them to keep away from issues they take pleasure in, when they could not even be a set off within the first place? As a substitute, on the times they get a headache, I’ve them assume again to what they’ve eaten over the previous 24 hours. If any of the meals are on the set off record, they’ll keep away from them for a few weeks to see if that makes a distinction.”

Merle Diamond, MD

Get Therapy

“It sounds apparent, but it surely actually isn’t. Greater than half of all individuals who get migraines are by no means identified. They’re at residence, treating their complications with over-the-counter medicines. However that is dangerous. First, they’re residing with debilitating ache once they don’t have to. Secondly, they find yourself taking over-the-counter ache relievers like ibuprofen or acetaminophen a number of instances per week, which might result in what’s referred to as remedy overuse headache. This in itself turns into an enormous headache to cope with. Your main care doctor is an efficient begin, however for those who can’t discover aid, see a headache specialist.”

Mary Ann Mays, MD

Think about Complementary Drugs

“There are just a few dietary supplements I like to recommend to my sufferers. None are a panacea, however they’ll generally assist together with conventional prescription medicines. They embody:

  • Butterbur. The standard dose is 50-75 milligrams twice a day. I personally haven’t discovered it to be too efficient in my observe, though one in every of my most difficult sufferers swears that she’s been cured by it
  • Magnesium, 400 milligrams a day
  • Melatonin, taken an hour or so earlier than bedtime to regularize sleep
  • Co-enzyme Q10. Normally, 300 milligrams a day
  • Vitamin B2. 400 milligrams a day

Normally, I begin with one for my sufferers, and in the event that they don’t reply, I add a second. And in the event that they nonetheless don’t reply however don’t have any uncomfortable side effects, then I add a 3rd.”

Alan Rapoport, MD

Have a Headache Plan

“The higher it’s, the much less probably you’ll be to finish up within the ER. Plenty of my sufferers want a three-prong technique. The primary prong is an acute remedy like a prescription triptan or ergot, to take as soon as you’re feeling your headache approaching. Then there’s a rescue remedy, like a prescription-strength NSAID, which you’ll take if that first remedy didn’t work. Lastly, for those who get greater than eight complications a month, you’ll most likely have to be on a preventative remedy like a beta-blocker or CGRP antagonist. If, in any case this, you’re nonetheless touchdown within the ER, otherwise you’re lacking work due to your complications, you must see your headache specialist once more to provide you with a greater plan. “

Merle Diamond, MD

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