| The first line of treatment is always to try and identify trigger factors, which means keeping a careful record of events, mainly of foods that have preceded an attack.
Particular foods are identified as migraine triggers in about 20 per cent of sufferers. The large female preponderance within migraine sufferers points to the importance of hormonal factors, such as the menstrual cycle, which are not modifiable. Many women also find that the oral contraceptive pill worsens attacks, and if so it should be stopped. (Women who get migraines with aura, severe migraines regularly lasting over 72 hours despite treatment, or migraines that are treated with ergot medicines should not take the contraceptive pill.) People suffering a migraine should try to rest in a dark, quiet room. Treatment of migraine is most effective if given at the start of an attack. Treatments for sufferers aged under 18 may differ from older patients, so it's important to discuss this with the pharmacist before buying any over the counter remedies. They are all prescription medicines, with the exception of sumatriptan, which can now be bought from pharmacies as Imigran recovery. These drugs cause the blood vessels around the brain to contract, therefore counteracting the dilatation that seems to part of the initial migraine process. They come in various forms, including nasal sprays, injections and tablets that dissolve on the tongue, which can be useful if nausea and vomiting are a problem during the migraine. It's worth noting that using any painkillers for headaches or migraines too often or for too long can actually make the headaches worse. If you find you're getting frequent migraines and are often taking painkillers, it's important to consult your doctor for advice. Often several kinds of medication need to be tried and perhaps combined before the most effective treatment for each individual patient can be found. Alternative therapies, such as homoeopathy and acupuncture, are popular even if the evidence supporting their effectiveness is poor or absent. The herbal remedy feverfew has shown some efficacy in preventing migraine and is available over the counter as Migraherb. Lifestyle and dietary advice are always important. |
