What Helps With My Migraines May Backfire for You
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 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 gentle sensitivity, and floaters in my imaginative and prescient. After I get a migraine, it will probably dangle on for 6-8 hours.
Between my very own migraines and people I deal with in my observe in Orlando, FL, I’ve develop into adept at managing them.
However simply because sure issues assist me doesn’t imply they’ll make it easier to. Totally different individuals have several types 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 crimson wine. (Yep, only one is all it takes.)
Yours could also be totally different. Frequent triggers embrace:
- Some smells
- Sure varieties 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 finest to avoid them. This will likely scale back how usually you get migraines, how dangerous they’re, and even ward them off earlier than they start.
Tips on how to Handle Triggers
To remain on high of my migraines, I all the time attempt to keep hydrated, train recurrently, and keep away from skipping meals.
Dehydration can set off a migraine. It might additionally make migraines last more. To maintain your water shops up, attempt to drink at the very least 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 deliver on migraines and make them last more. I inform my migraine sufferers to get at the very least 7 hours of sleep an evening.
I additionally take 400 milligrams (mg) of magnesium daily. Magnesium oxide is finest for migraines and may scale back how frequent and extreme they’re. It helps me, but it surely doesn’t assist everybody. If in case you have frequent or extreme migraines, magnesium could not give you the results you want.
Editor’s be aware: Test along with your physician earlier than you begin taking dietary supplements, to ensure 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 medication. I often take 400 mg of ibuprofen, which helps reduce my ache. It’s also possible to attempt over-the-counter medicines like Excedrin Migraine or Tylenol.
However watch out. Taking an excessive amount of treatment to your migraine can truly make it worse.
An excessive amount of acetaminophen, ibuprofen, naproxen, or different ache medicines can result in treatment overuse. This seems like a continual, day by day headache or migraine. It might occur in case you take one in all these medicines 2-3 days every week for a number of weeks.
Once more, understand that sure therapies work for some individuals however not others. There are numerous choices, so discuss to your physician to seek out what’s best for you.
Your physician could counsel sure medicines which will cease extreme migraines in case you 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 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 indicators out of your mind.
Botox works to ease migraine ache for some individuals however not for others.
I haven’t tried it as a result of my migraines aren’t frequent sufficient. It’s finest for individuals with continual migraines, or 15 complications a month.
It’s also possible to attempt various therapies similar to these:
- Yoga and meditation will help with stress and scale back migraines.
- A scalp or facial therapeutic massage will 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. But it surely differs from individual to individual.
If in case you have gentle sensitivity if you get a migraine, attempt staying in a cool, darkish room. You could have to put on an eye fixed masks, too.
One very last thing: Speak to your physician concerning the sort, severity, and frequency of your migraines. They’ll tailor your remedy to your private wants.