Migraine headaches symptoms and treatment

Monday, January 15, 2007

Migraine Treatment


Once, Aspirinum was almost unique accessible treatment for headaches. Now there are drugs, definitely intended to survey a migraine. Some drugs normally were in the habit to survey other conditions, also can help to reduce a migraine in some people. These treatments drop all in two classes:

* treatments Reducing a pain. They intercept a pain as soon as it has begun.
* Preventive treatments. They reduce or prevent a headache of a migraine.

The choice of preventive strategy or strategy reducing a pain depends on frequency and gravity of your headaches, a degree of disability your cause of headaches and other medical conditions which you can have. You can be the candidate on preventive therapy if you have two or more wearisome offences in a month if you use treatments reducing a pain more than two times week if treatments reducing a pain do not help or if you have a unusual migraine.

Some treatments are not recommended, if you are pregnant or feeding by a breast. The some people are not used for children. Your doctor can help to find correct treatment for you.

Treatments reducing a pain
For the best results, take drugs reducing a pain as soon as you test attributes or attributes of a headache of a migraine. It can help, if you have a rest or sleep in a dark room after their capture:

* Nonsteroid antiseditious drugs (NSAIDs). These treatments, phylum of Ibufrofenum (Advil, Motrin, others) or Aspirinum, can help to reduce the moderate migraine. The drugs sold definitely for a migraine, phylum of a combination acetaminophen, Aspirinum and a coffeine (Migraine Excedrin), also can relax the moderate migraine, but are not effective one for a serious migraine. If over-the-counter treatments do not help, your doctor can offer stronger, the version only for the prescription of the same preparation. If it is taken too often or for long time intervals, NSAIDs can lead to cankers, gastrointestinal bleeding and again bind headaches.
* Triptans. Sumatriptan (Imitrex) was the first medicine definitely developed to survey a migraine. It imitates action of a serotonin, binding to receptors of a serotonin and forcing veins to compress. Sumatriptan it is accessible in oral, nasal and the form of an injection. Introduced sumatriptan works more quickly than any other treatment certain for a migraine - in so a little as 15 minutes - and it is effective in most cases. But injections can be inconvenient and morbid.

Since injection sumatriptan, the flock of similar drugs became accessible, including rizatriptan (Maxalt), naratriptan (Amerge), zolmitriptan (Zomig), almotriptan (Axert), frovatriptan (Frova) and eletriptan (Relpax). These newer agents provide the help hurt within two hours for the majority of people, have less by-effects and invoke less than coming back headaches. By-effects triptans include a nausea, a giddiness, and delicacy of a muscle and, seldom, impact and heart attack.
* Ergots. drugs, phylum ergotamine (Ergomar) and dihydroergotamine (D.H.E. 45), and dihydroergotamine nasal sparks (Migranal) the help reduce a pain. These drugs can have more by-effects than, do triptans.
* Treatments for a nausea. Metoclopramide (Reglan) is beneficial to reduce a nausea and to tear bound with a migraine, not a pain of a migraine it is immediate. It also enriches stomachal remission which leads to the best absorption and faster action of many oral drugs. It is the most effective when is taken early during your migraine or even during aura before your headache begins. drugs prochlorperazine (Compazine), chlorpromazine (Thorazine), promethazine (Phenergan) and hydroxyzine (Vistaril) also can reduce a nausea, but not affect stomachal remission.

Preventive treatments
Preventive treatments can reduce frequency, gravity and length of a migraine and can enlarge efficacyy of the medicines reducing a pain used during offences of a migraine. In most cases, preventive treatments do not eliminate headaches completely, and the some people can have serious by-effects. For the best results, take these treatments as your doctor recommends:

* Cardiovascular drugs. Beta-blockers - which are normally used to survey a high blood pressure and illness of a coronary artery - can reduce frequency and gravity of a migraine. These drugs survey among agents of treatment of the first line. Blockers of the canal of calcium, other class of cardiovascular drugs, especially Verapamilum (Calan, Isoptin), also can be beneficial. Besides antihypertensive treatments lisinopril (Prinivil, Zestril) and candesartan (Atacand) - beneficial treatments of an avoidance of a migraine. Explorers do not perceive precisely why all these cardiovascular drugs prevent a migraine. By-effects can include a giddiness, a sleepiness or levity.
* Antidepressants. The certain antidepressants are capable to help, prevent all phylums of headaches, including a migraine. The most effective - tricyclic antidepressants, phylum of amitriptyline, nortriptyline (Pamelor) and protriptyline (Vivactil). These treatments survey among agents of treatment of the first line and can reduce a migraine, affecting a level of a serotonin and brain chemicals. Newer antidepressants, however, are not so effective at all for an avoidance of a migraine. You should not have depression to benefit by these drugs.
* Nonsteroid antiseditious drugs (NSAIDs). On a regular basis taking over-the-counter NSAIDs, phylum of Ibufrofenum (Advil, Motrin, others) and naproxen sodium (Aleve) can reduce frequency of a migraine. If these treatments do not help, your doctor can offer stronger, the version only for the prescription of the same preparation. However, NSAIDs can enlarge your risk of cardiovascular events, phylum of heart attack and impact. Besides long-term use of these treatments can lead to cankers and another gastrointestinal to problems, phylum of a bleeding of a gaste. Speak with your doctor before a capture of these treatments on a regular basis - even variants sold without the prescription.
* drugs of anticonfiscation. Though the cause is obscure, a few drugs of anticonfiscation, phylum divalproex sodium (Depakote), valproic an acid (Depakene) and topiramate (Topamax), which are used to survey an epilepsy and bipolar illness, apparently, prevent a migraine. Gabapentin (Neurontin), other treatment of anticonfiscation, consider as the agent of treatment of the second line. Taken in high doses, however, these drugs of anticonfiscation depending on what you take, can invoke by-effects, phylum of a nausea and a vomiting, a diarrhea, cramps, loss of a hair and a giddiness.
* Cyproheptadine. This antihistamine definitely affects activity of a serotonin. Doctors sometimes give it to children as a preventive measure.
* Phylum A of toxin Botulinum (Botox). Some people receiving injections Botox for their facial folds have noted improvement of their headaches. However, obscurely, what effect Botox actually has on headaches. It can cause changes in your excitatory system which variate your tendency to educe a migraine. Additional research is necessary.