Physician Tips about What to Keep away from With Migraines

What if you happen to might ask among the nation’s prime migraine docs for recommendation on tips on 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 cup of wine after I went out to dinner,’ or ‘I shouldn’t have stayed up so late.’ Lots of my migraine sufferers are sort A personalities who’re very profitable and overachievers. I inform them it’s OK to slide up each infrequently. You possibly can’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 recognized for some time that people who find themselves overweight usually tend to get migraines. They’re additionally extra more likely to have persistent migraine, which implies they get a minimum of eight a month. One concept is that your additional fats cells produce inflammatory proteins that set off these complications. The excellent news is if you happen to drop a few pounds, analysis reveals your migraines will enhance.”

Alan Rapoport, MD


Ditch the ‘Headache Weight-reduction plan’

“About 30% of migraine sufferers have a minimum of one meals set off. However the listing of meals that may probably trigger issues is overwhelming. Additionally, many 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’ food regimen or keep away from sure meals. Why drive them to keep away from issues they get pleasure from, 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 listing, 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, however it actually isn’t. Greater than half of all individuals who get migraines are by no means identified. They’re at dwelling, treating their complications with over-the-counter medicines. However that is unhealthy. First, they’re dwelling 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 occasions per week, which may result in what’s often called medicine overuse headache. This in itself turns into an enormous headache to cope with. Your main care doctor is an efficient begin, however if you happen to can’t discover reduction, see a headache specialist.”

Mary Ann Mays, MD

Think about Complementary Medication

“There are a number of dietary supplements I like to recommend to my sufferers. None are a panacea, however they’ll typically assist together with conventional prescription medicines. They embrace:

  • Butterbur. The same old dose is 50-75 milligrams twice a day. I personally haven’t discovered it to be too efficient in my apply, though one in all 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. Often, 300 milligrams a day
  • Vitamin B2. 400 milligrams a day

Often, 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 unintended effects, then I add a 3rd.”

Alan Rapoport, MD

Have a Headache Plan

“The higher it’s, the much less possible you’ll be to finish up within the ER. Loads of my sufferers want a three-prong technique. The primary prong is an acute medicine like a prescription triptan or ergot, to take as soon as you are feeling your headache approaching. Then there’s a rescue medicine, like a prescription-strength NSAID, which you’ll take if that first medicine didn’t work. Lastly, if you happen to get greater than eight complications a month, you’ll in all probability must be on a preventative medicine like a beta-blocker or CGRP antagonist. If, in spite of everything this, you’re nonetheless touchdown within the ER, otherwise you’re lacking work due to your complications, it’s good to see your headache specialist once more to give you a greater plan. “

Merle Diamond, MD

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