Management of migraine

Treatment

Migraine treatment is aimed at stopping symptoms and preventing future attacks. Medications used to combat migraines fall into 2 main categories²:

Pain-relieving medications or known as acute treatment, including:

• Painkillers such as paracetamol and ibuprofen.
• Triptans which are medicines that help block pain pathways in the brain.
• Ergotamine that works on the brain chemicals.
• Anti- emetics that help relieve nausea and sick feeling.

Preventive medications. These types of drugs are taken regularly, to reduce the severity and frequency of migraines.

• Beta blockers and calcium channel blockers, both are medications that are also used in blood pressure or heart problems.
• Antidepressants such as amitriptyline that cause sleepiness.
• Anti- seizure medications such as valproate and topiramate.

During a migraine attack, try heading to a quiet, darkened room and rest. Place a cool cloth on your forehead and drink plenty of fluids to stay hydrated. Keeping a headache diary will help you learn more about what triggers your migraine and hence avoid it. It may also help to maintain a generally healthy lifestyle, including regular exercise, sleep and meals as well as learn to manage stress. Research has found some supplements can help prevent or treat migraines. Vitamin B2 may help reduce oxidative stress associated with migraine3. Besides, coenzyme Q10 that has antioxidant properties may help to treat migraine attacks4. Some studies suggest that coQ10 might reduce the number and length of migraine episodes. Migraine attacks can be debilitating. Effective treatments that are safe and well-tolerated can be extremely helpful for individuals with migraine. Remember to consult your pharmacist or doctor before deciding to take any medication or supplements.