How to treat a migraine?
Unfortunately, it is impossible to cure a migraine once and for all. However, modern therapeutic approaches allow not only to significantly reduce the frequency and intensity of seizures but also improve the condition of patients between attacks. The correct treatment of a migraine is the combination of drugs and non-medicinal methods.
Basic non-medicament measures
Change in lifestyle
Success in treatment can be achieved only under the condition of a healthy lifestyle and exclusion of provoking factors, so try:
- It is enough to sleep (6-8 hours).
- Avoid emotional overexertion and relax more often.
- Correctly organize the work during the day.
- Regularly eat (in small portions, at least 4 times a day).
- Quit smoking and abuse coffee.
- Avoid food provokers attack.
For psychological relaxation and stress removal, psychotherapeutic exercises, auto-training, acupuncture, aromatherapy, meditation, biological feedback methods are very useful. A good effect can be given by physical methods of treatment that relieve the tension of the neck muscles: post-isometric relaxation, neck massage, manual therapy, gymnastics, water procedures.
Therapy of a migraine (should be selected by a doctor) can be divided into two parts:
- relief of an attack of headache;
- prevention of a headache attack.
How to stop a migraine attack?
The choice of drugs for a migraine attack depends on the intensity of a headache and on how much the pain limits daily activity.
If the pain does not significantly limit your activity:
- Use of analgesics: naproxen>, ibuprofen, aspirin-migraine, paracetamol, caffeine, as well as codeine-containing drugs. However, it should be remembered that excessive use of analgesics can lead to a so-called abusum (every day) a headache. If you need 3 or more analgesic tablets a day to relieve a headache, this should be a signal to call your doctor and review the treatment.
- With frequent urge to vomit antiemetics are indicated: for example, Cerucal.
When the pain severely limits your activity, the appointment of drugs from the group of triptans is indicated. These specially designed for the treatment of migraine attacks can relieve an intense headache within 20-30 minutes. The triptans include Imigran, Zomig,Naramig, and domestic Amigrenin.
Not all drugs in this group are the same. It is necessary to choose a drug that provides not only a quick effect but also can prevent the return of a headache. The drug Relpax is closest to these requirements. It has an optimal combination of rapid effect and long-term control of migraine headache, which ensures its pronounced antimigraine activity. In numerous clinical trials involving more than 10,000 people, Relpax has shown that it is superior to other triptans by clinical effect, well tolerated; when it is used, there is a low probability of a headache returning.
Patients taking triptans should be aware of some limitations: the interval between taking a second dose of tryptase should be at least 2 hours, they should not be taken more than ten times a month – this can worsen a migraine. Triptans cannot be used in patients with coronary heart disease (e.g., angina, or who underwent myocardial infarction), arrhythmias, atrioventricular blockade and uncontrolled hypertension. The intake of triptans can be accompanied by such undesirable phenomena as pain and contraction in the chest, hot flashes to the face, palpitations, increased blood pressure, drowsiness, dizziness. These symptoms quickly pass and do not pose a danger.
How to prevent a migraine attack?
Prophylactic treatment is indicated if migraine attacks are very severe, with a frequency of more than three heavy attacks per month and more than 48 hours in duration, and if there are migraine-related disorders such as depression and anxiety, neck pain and tension, sleep disorders, autonomic disorder. The duration of the course of treatment is 2-3 months.
Use drugs of various groups, the combination of which is selected for each patient individually. The most widely used are:
- calcium channel blockers;
Perhaps the appointment of muscle relaxants.
In patients after 45-50 years, the use of nootropic drugs is also advisable.
A new approach in preventing migraine attacks is the appointment of antiepileptic drugs, the effectiveness of which is explained by the similar mechanisms of development of migraine attacks and seizures. These funds are most indicated to patients with a daily or almost daily headache (there may be a migraine here). They are also effective, and as traditional remedies for migraine prevention, they are well tolerated by patients, and improve the quality of their life.
Remember: the appointment of drugs and their dosage – the competence of your doctor!