By Puja Aggarwal, MD, as advised to Kara Mayer Robinson
As a board-certified neurologist who treats migraines — and somebody who will get migraine complications recurrently — I really feel your ache.
About 2-3 occasions a month, I get a full-blown migraine in the back of my head. It additionally comes with photophobia, or mild sensitivity, and floaters in my imaginative and prescient. After I get a migraine, it may possibly hold on for 6-8 hours.
Between my very own migraines and people I deal with in my apply in Orlando, FL, I’ve change into adept at managing them.
However simply because sure issues assist me doesn’t imply they’ll assist you. Totally different folks have several types of migraine complications, and that impacts what works and what doesn’t.
First, Know Your Triggers
Everybody’s triggers are completely different. It’s key to have the ability to pinpoint your private triggers and keep away from them.
Mine embody 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 completely different. Widespread triggers embody:
- Some smells
- Sure varieties of mild
- 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 keep away from them. This may increasingly scale back how usually you get migraines, how dangerous they’re, and even ward them off earlier than they start.
The right way to Handle Triggers
To remain on prime of my migraines, I at all times attempt to keep hydrated, train recurrently, and keep away from skipping meals.
Dehydration can set off a migraine. It could additionally make migraines last more. To maintain your water shops up, attempt to drink no less than 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 no less than 7 hours of sleep an evening.
I additionally take 400 milligrams (mg) of magnesium daily. Magnesium oxide is greatest for migraines and may scale back how frequent and extreme they’re. It helps me, however it doesn’t assist everybody. If in case you have frequent or extreme migraines, magnesium could not be just right for you.
Editor’s notice: Examine together with your physician earlier than you begin taking dietary supplements, to verify it’s a good selection 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 truly make it worse.
An excessive amount of acetaminophen, ibuprofen, naproxen, or different ache drugs can result in treatment overuse. This seems like a power, day by day headache or migraine. It could occur if you happen to take one in every of these drugs 2-3 days per week for a number of weeks.
Once more, take into account that sure remedies work for some folks however not others. There are plenty of choices, so discuss to your physician to search out what’s best for you.
Your physician could counsel sure drugs which will cease extreme migraines if you happen to take them in the beginning of a migraine. They embody:
- 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 Strive
If in case you have frequent migraines, Botox pictures could assist. Botox is a drug that blocks neurotransmitters carrying ache alerts out of your mind.
Botox works to ease migraine ache for some folks however not for others.
I haven’t tried it as a result of my migraines aren’t frequent sufficient. It’s greatest for folks with power migraines, or 15 complications a month.
You may as well attempt different remedies equivalent to these:
- Yoga and meditation may help with stress and scale back migraines.
- A scalp or facial therapeutic massage may help relieve ache.
- Acupuncture could assist reduce the variety of migraines you get or assist them be milder if you do get one.
When a migraine makes it uncomfortable for me to be round mild, 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. However it differs from individual to individual.
If in case you have mild sensitivity if you get a migraine, attempt staying in a cool, darkish room. You might have to put on a watch masks, too.
One last item: Speak to your physician in regards to the sort, severity, and frequency of your migraines. They will tailor your remedy to your private wants.