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 usually — 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 gentle sensitivity, and floaters in my imaginative and prescient. Once I get a migraine, it may possibly cling on for 6-8 hours.
Between my very own migraines and people I deal with in my observe in Orlando, FL, I’ve turn into adept at managing them.
However simply because sure issues assist me doesn’t imply they’ll assist you. Totally different folks have various kinds 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 pink wine. (Yep, only one is all it takes.)
Yours could also be totally different. Widespread 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 you recognize your triggers, you are able to do your greatest to keep away from them. This may increasingly cut back how typically 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 all the time attempt to keep hydrated, train usually, 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 a minimum of 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 may also convey on migraines and make them last more. I inform my migraine sufferers to get a minimum of 7 hours of sleep an evening.
I additionally take 400 milligrams (mg) of magnesium day by day. Magnesium oxide is greatest for migraines and may cut back how frequent and extreme they’re. It helps me, but it surely doesn’t assist everybody. When you have frequent or extreme migraines, magnesium could not give you the results you want.
Editor’s observe: Verify along 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 remedy. I often take 400 mg of ibuprofen, which helps reduce my ache. You can too attempt over-the-counter medicines like Excedrin Migraine or Tylenol.
However watch out. Taking an excessive amount of remedy to your migraine can really make it worse.
An excessive amount of acetaminophen, ibuprofen, naproxen, or different ache medicines can result in remedy overuse. This appears like a continual, day by day headache or migraine. It could occur if you happen to take one in every of these medicines 2-3 days every week for a number of weeks.
Once more, needless to say sure remedies work for some folks however not others. There are plenty of choices, so speak to your physician to search out what’s best for you.
Your physician could counsel sure medicines which will cease extreme migraines if you happen to take them initially 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 remedy to assist stop migraines, like:
- Galcanezumab (Emgality)
- Rimegepant (Nurtec)
- Sodium valproate (Depakote)
- Topiramate (Topamax)
- Ubrogepant (Ubrelvy)
Different Issues to Attempt
When you have frequent migraines, Botox photographs 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 continual migraines, or 15 complications a month.
You can too attempt various remedies akin to these:
- Yoga and meditation may help with stress and cut 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 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.
When you have gentle sensitivity if you get a migraine, attempt staying in a cool, darkish room. It’s possible you’ll 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 will tailor your therapy to your private wants.