2023-09-19 21:34:30
Chronic migraine is a serious disability that can disrupt someone’s well-planned evening or day. Fortunately, here’s how to overcome it.
Chronic migraine is a burden for many people. It affects the quality of life and the ability to lead a normal existence. To better manage it, there are a variety of approaches. The key often lies in a combination of medical treatments, stress management and alternative methods.
Conventional drug treatments
When a migraine attack occurs, action must be taken to relieve the pain. Basic pain relievers, such as acetaminophen, aspirin, paracetamol can help with mild or moderate attacks. It is important to take them at the first signs of migraine for the best effect. NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), ketoprofen or naproxen (Aleve) can also be used at the start of an attack.
In case of severe attacks or if traditional analgesics do not work, triptans and ergot derivatives are more specific options. They work by reducing the constriction of blood vessels and blocking the release of inflammatory substances.
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Basic treatments for prevention
THE beta-blockers, such as metoprolol and propranolol, are often prescribed as disease-modifying therapy to reduce the frequency and intensity of seizures. They are particularly useful when stress is a triggering factor.
Amitriptyline, typically used as an antidepressant, is also effective in lower doses for preventing migraines. However, its use must be cautious due to potential side effects.
Topiramate, an antiepileptic drug, may be prescribed for migraine prevention. However, it includes risks during pregnancywhich requires strict monitoring.
THE anti-CGRP monoclonal antibodies are also available for migraine prevention in patients suffering from severe migraines resistant to other treatments. However, their use is reserved for neurologists and they are not reimbursed by Health Insurance.
The botulinum toxin type A may be an option for chronic migraine when other treatments have not worked.
It is, moreover, possible to treat menstrual migraines by taking estrogen to stabilize hormones or by continuing hormonal treatment to prevent ovulation.
Non-drug approaches
Stress management is important for many people with migraines. Of the relaxation and biofeedback techniques can help reduce the frequency and intensity of seizures. THE cognitive and behavioral therapies (CBT) can also help identify migraine triggers and develop strategies to better manage them.
Some studies suggest that hypnosis may be beneficial for patients with chronic migraines, especially when performed by a trained professional. Although the effectiveness of l’acupuncture While migraine prevention is not yet fully established, some people find relief with this method. It is the same for homeopathy and osteopathy.
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