There are two types of treatments for patients with
migraine headaches. The first is prophylactic, or
medication that is used regularly in response to patients
who have three or more migraines a month that do not
respond to the second type of treatment.
Abortive treatment is usually medication that suppresses
the pain of the migraine, which does not recur at that
time.
The drugs used in prophylactic treatment include:
* Beta-blockers: a drug that affects the heart rate,
reducing pressure in the blood vessels of the brain
* Anti-seizure drugs used in treating neurological episodes
* Calcium channel blockers: restrict artery dilation
* Tricyclic anti-depressants: stop re-absorption of
seratonin
Abortive treatments may involve:
* Serotonin receptors
* Ergot derivatives
* Analgesics
Analgesics are the first line of defense, and should be
taken as soon as a patient feels the onset of a migraine
headache. The type used can vary from
aspirin/acetaminophen, to medications that also use
ibuprofen, and other over the counter drugs.
These are most effective for those who have three or fewer
migraines a month, as well as for anyone who suffers
“breakthrough” headaches that occur even though you are on
prophylactic treatment.
Overuse of analgesics however, can result in what is known
as “rebound” headaches, where the constant intake of
chemicals can suppress the body”s natural pain coping
mechanisms.
The choice of treatment should be made on the advice of a
physician who can suggest the appropriate drug, according
to the nature of the headaches you have. But remember that
not all drugs work for all people, and not all people can
take every drug. Make sure you are aware of side-effects,
and that your doctor knows what other medications you may
be on.
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