By Puja Aggarwal, MD, as instructed to Kara Mayer Robinson
As a board-certified neurologist who treats migraines — and somebody who will get migraine complications frequently — I really feel your ache.
About 2-3 instances a month, I get a full-blown migraine in the back of my head. It additionally comes with photophobia, or gentle sensitivity, and floaters in my imaginative and prescient. Once I get a migraine, it may possibly dangle on for 6-8 hours.
Between my very own migraines and people I deal with in my follow in Orlando, FL, I’ve develop into adept at managing them.
However simply because sure issues assist me doesn’t imply they’ll allow you to. Totally different individuals have several types of migraine complications, and that impacts what works and what doesn’t.
First, Know Your Triggers
Everybody’s triggers are totally different. It’s key to have the ability to pinpoint your private triggers and keep away from them.
Mine embrace stress, lack of sleep, dehydration, skipping meals, and having a glass of purple wine. (Yep, only one is all it takes.)
Yours could also be totally different. Frequent triggers embrace:
- Some smells
- Sure forms of gentle
- Consuming an excessive amount of
- Meals components
- Jet lag
- Loud sounds
- Your menstrual cycle
As soon as your triggers, you are able to do your greatest to avoid them. This will likely scale back how typically you get migraines, how dangerous they’re, and even ward them off earlier than they start.
How one can Handle Triggers
To remain on high of my migraines, I at all times attempt to keep hydrated, train frequently, and keep away from skipping meals.
Dehydration can set off a migraine. It might additionally make migraines last more. To maintain your water shops up, attempt to drink at the very least 64 ounces of water a day.
If starvation is a set off for you, attempt to have three set meals a day.
Lack of sleep can even deliver on migraines and make them last more. I inform my migraine sufferers to get at the very least 7 hours of sleep an evening.
I additionally take 400 milligrams (mg) of magnesium each day. Magnesium oxide is greatest for migraines and may scale back how frequent and extreme they’re. It helps me, but it surely doesn’t assist everybody. In case you have frequent or extreme migraines, magnesium might not give you the results you want.
Editor’s be aware: Test along with your physician earlier than you begin taking dietary supplements, to verify it’s a sensible choice for you.
When a Migraine Strikes
As quickly as a migraine comes on, one of many first issues I do is drink fluids and eat one thing.
I additionally take treatment. I often take 400 mg of ibuprofen, which helps reduce my ache. You may as well attempt over-the-counter drugs like Excedrin Migraine or Tylenol.
However watch out. Taking an excessive amount of treatment in your migraine can really make it worse.
An excessive amount of acetaminophen, ibuprofen, naproxen, or different ache drugs can result in treatment overuse. This appears like a persistent, each day headache or migraine. It might occur when you take one in every of these drugs 2-3 days every week for a number of weeks.
Once more, remember the fact that sure therapies work for some individuals however not others. There are numerous choices, so speak to your physician to search out what’s best for you.
Your physician might recommend sure drugs which will cease extreme migraines when you take them firstly of a migraine. They embrace:
- Almotriptan malate (Axert)
- Eletriptan hydrobromide (Relpax)
- Frovatriptan (Frova)
- lasmiditan (Reyvow)
- Naratriptan (Amerge)
- Rizatriptan benzoate (Maxalt)
- Sumatriptan succinate (Imitrex)
- Zolmitriptan (Zomig)
They could additionally suggest treatment to assist stop migraines, like:
- Galcanezumab (Emgality)
- Rimegepant (Nurtec)
- Sodium valproate (Depakote)
- Topiramate (Topamax)
- Ubrogepant (Ubrelvy)
Different Issues to Attempt
In case you have frequent migraines, Botox photographs might assist. Botox is a drug that blocks neurotransmitters carrying ache alerts out of your mind.
Botox works to ease migraine ache for some individuals however not for others.
I haven’t tried it as a result of my migraines aren’t frequent sufficient. It’s greatest for individuals with persistent migraines, or 15 complications a month.
You may as well attempt various therapies resembling these:
- Yoga and meditation will help with stress and scale back migraines.
- A scalp or facial therapeutic massage will help relieve ache.
- Acupuncture might assist reduce the variety of migraines you get or assist them be milder whenever you do get one.
When a migraine makes it uncomfortable for me to be round gentle, it often lasts about 20-Half-hour. I can sit in a room with the lights off, and it clears up.
I’m fortunate — it’s fast for me. Nevertheless it differs from individual to individual.
In case you have gentle sensitivity whenever you get a migraine, attempt staying in a cool, darkish room. You could have to put on an eye fixed masks, too.
One final thing: Speak to your physician concerning the sort, severity, and frequency of your migraines. They’ll tailor your therapy to your private wants.