Pharmaceutical Migraine Treatment Options

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pillsWhen medicines such as: Tylenol, Advil, Motrin, Aleve and Ibuprofen no longer has any positive effect on the intense migraine pain being felt the need for prescription medication might be. It is important that migraines sufferers realize that medication prescribed for migraine relief is not a cure for migraine headaches themselves but are used for one of two purposes:

 

 

 

  1. Relieve Symptoms
  2. Prevent Attacks

A relief of migraine symptoms can be found by the use of one of the over the counter medicines we have already mentioned earlier in this book and was briefly touched on in the paragraph above. Keep in mind that no prescription medication can prevent a migraine 100% but there are those prescription medications available that can help reduce the number of migraine attacks experienced as well as lessen the level of pain felt by the migraine sufferer. A few of the medication that a doctor might prescribe to assist with lessening the occurrence of migraines would be:

  • Anti-depressants
  • Anti-Seizure Medication
  • Prophylactic Medicine
  • Triptans
  • Ergots

Prophylactic Medication

The use of prophylactic medication can be somewhat helpful as well in reducing the reoccurrences of migraine headaches. Prophylactic medicine is taken daily as a preventative medication. Prophylactic medication is not effective when taken once a migraine has developed its job if to help reduce migraine frequency not the pain associated with migraines. A few examples of Prophylactic Medication are:

Anti-depressant medications

Anti-depressants are often prescribed by doctors for those that suffer from migraines. These two medications are able to decrease pain for the migraine sufferer. They can also help increase energy, decrease anxiety, help with alertness and improve depression. Anti-depressants are not typically used for migraine patients who have been clinically depressed.

Anticonvulsants

Anticonvulsants were originally designed to treat seizures. They are now used to help migraine patients and migraine sufferers. They are able to affect the chemicals in the brain that send pain signals across the nervous system. By doing this, it helps to reduce pain and help sleep.

Triptans                                                              

Triptans are used as a tool to prevent migraines from being successful in completely immobilizing an individual. Because of triptans unique ability to attach to the serotonin receptors on the blood vessels and the surrounding nerves, they can help reduce and in some cases completely stop migraine headaches from occurring. If used correctly, Triptans will reduce the amount of pain felt and increase in its effectiveness. Triptans should be administered when the early signs and symptoms of a migraine begin to be felt. Taking one after the pain has settled in will reduce the effectiveness and increase the chances for side effects as well as a migraine relapse.

Triptans have been useful in the treatment of migraine pain, however there are a few risks involved that those considering treating their migraines with triptans ought to be aware of. The most common side effects associated with triptans are but not limited to:

  • Drowsiness
  • Facial Reddening
  • Fatigue
  • Tightening In The Chest
  • Tightening In The Throat
  • Dizziness

The role Triptans play in releasing migraine pain is due to the affect triptans have on the restriction of blood vessels or the narrowing of them to prevent them from enlarging and creating migraine pain. Though narrowing is part of their job, it can also have a reverse effect by not only narrowing the arteries in the head but also create a narrowing of the arteries in the heart. This becomes increasingly dangerous for those individuals that have already experienced some form of coronary narrowing. The narrowing caused by the triptans could lead to further narrowing resulting in a heart attack or stroke.

Even if you consider yourself a healthy individual, be aware that if your doctor is considering prescribing triptans to help with your migraine pain he or she might prescribe a full body evaluation first in order to insure that everything is ok physically before he or she gives a green light on using triptans.

Ergots

Ergots are  similar to triptans in that they too constrict blood vessels, the difference is that triptans tend to constrict blood vessels in the brain whereas ergots are known to restrict blood vessels more in the heart and other parts of the body making them not nearly as safe of a treatment as triptans. Ergots have been known to induce nausea, vomiting and contractions in the uterus that makes them very unsafe for pregnant women.

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