Abortive Migraine Therapy

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Abortive Migraine Therapy

Abortive migraine therapy is a class of drugs designed to prevent headaches from starting. These drugs should be taken within 15 minutes of feeling the headache start, and can help reduce its intensity if taken on a regular basis.

Acetaminophen, diclofenac potassium, ibuprofen, indomethacin, nalbuphine and phenytoin are all safe and effective therapies for aborting migraine attacks. However, they should only be used under medical supervision due to potential side effects which should always be discussed with your physician beforehand.

Triptans are a commonly prescribed form of migraine therapy. They bind to 5HT 1b/d receptors in the brain and produce analgesia – or pain relief – by binding to 5HT 1b/d receptors. Triptans come in tablet, injection, and nasal spray form for convenience.

CGRPs (chronic generic reuptake inhibitors) are an innovative abortive therapy for migraine. These medicines work similarly to triptans, but may be more beneficial in individuals who have certain cardiovascular risk factors like high blood pressure or a history of heart attack.

Lasmiditan is a novel medication in the triptan class that works like a triptan but causes less side effects for those with cardiovascular risk factors. It comes in pill form and is strictly controlled for your safety.

Ergot alkaloids (ergotamine and dihydroergotamine) are another option for abortive migraine treatment. They bind to 5HT 1b/d brain receptors similarly to triptans, may activate descending brainstem pain-modulation pathways, and inhibit dural nociception.

They are often combined with a nonsteroidal anti-inflammatory drug (NSAID) or an antidepressant to reduce nausea and vomiting. They may also be prescribed individually.

The American Headache Society recommends using abortive therapies as part of a comprehensive treatment plan for migraine patients. These may include strategies such as avoiding foods or drinks that trigger migraine symptoms, practicing proper sleep hygiene techniques, and managing stress effectively.

Additionally, a neurologist, neuro-ophthalmologist or neurosurgeon should be consulted to assess the condition and ensure any other medical issues are taken care of.

A neurologist can perform a neurological exam, order additional tests, and take an MRI or CT scan to detect structural abnormalities in the brain. Although these aren’t usually necessary for most migraine sufferers, they may be helpful to diagnose more serious problems like brain tumors.

Your doctor will begin by reviewing your medical history, noting any past heart problems or other health conditions which could increase the likelihood of migraines. They’ll also ask you to describe any headaches or other unusual symptoms experienced during a migraine attack.

If your doctor thinks you could benefit from abortive migraine therapy, they will prescribe the drug that is most suitable for you. Common options include acetaminophen, diclofenac, indomethacin and triptans.

NSAIDs (Nonsteroidal anti-inflammatory drugs) can relieve migraine-associated pain and nausea; however, they should be used with caution as they may cause stomach irritation or bleeding. Always inform your doctor of any other medications you are taking as well as supplements you take.

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- Welcome, SoundTherapy.com lowers anxiety 86%, pain 77%, and boosts memory 11-29%. Click on the brain to sign up or share with buttons below to help others: