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Cost-effectiveness and cost-benefit of sumatriptan in patients with migraine. 1 Migraine triggers * 3 Treatment o 3. Massage Therapy and Physical Therapy are often very effective forms of treatment to reduce the frequency and intensity of migraines. Deep massage can trigger a migraine attack in a person who is not used to such treatments. We subscribe to the HONcode principles. Other 5-HT agonists are almotriptan (Axert®), naratriptan (Amerge®), rizatriptan (Maxalt®), zolmitriptan (Zomig®), frovatriptan (Frova®) and eletriptan (Relpax®). This vascular headache is most commonly experienced between the ages of 15 and 55, and 70% to 80% of sufferers have a family history of migraine. [edit] Alternative approaches Because the conventional approaches to migraine prevention are not 100% effective and can have unpleasant side effects, many seek alternative treatments. * Lipton RB, Silberstein SD, Stewart WF.

J. The pain of migraine occurs when excited brain cells trigger the trigeminal nerve to release chemicals that irritate and cause swelling of blood vessels on the surface of the brain. 50 mg or 75 mg/day of butterbur (Petasites hybridus) rhizome extract was shown in a controlled trial to provide 50% or more reduction in the number of migraines to 68% of participants in the 75 mg dose group, 56% in the 50 mg dose group and 49% in the placebo group after four months. For patients who have been diagnosed with recurring migraines, doctors recommend taking painkillers to treat the attack as soon as possible. Pharmacotherapy 2000;20: 1356-1364. Some attacks may not be eliminated by acute therapy, yet the patient requires pain-relieving measures. The earlier these drugs are taken in the attack, the better their effect. People who get migraine headaches appear to have blood vessels that overreact to various triggers. o FAQ on migraine treatment (Michigan Head Pain and Neurological Institute) o CVSA information on a potential migraine variant Cyclical Vomiting Syndrome o About Headaches / Migraine Information, support, and advocacy resources for Migraineurs.

Preventive If patients have frequent migraine attacks, if the attacks do not respond consistently to migraine specific acute treatments, or if the migraine specific medications are ineffective or contraindicated because of other medical problems, then preventive medications should be given to reduce the migraine frequency and improve the response to the acute migraine medicines. 2. * Mayo Clinic Staff. It has a success rate similar to butterbur and co-enzyme Q10. Risk of ischaemic stroke in people with migraine: systematic review and meta-analysis of observational studies. Pharmacotherapy 2000;20: 1356-1364. [edit] Trigger avoidance Patients can attempt to identify and avoid factors that promote or precipitate migraine episodes. Self-hypnosis exercises are also taught to control both muscle contraction and the swelling of blood vessels. It is used only if attacks occur more often than every two weeks.

Narcotic pain killers (for example, codeine, morphine or other opiates) provide variable relief, but their side effects, the possibility of causing rebound headaches or analgesic overuse headache, and the risk of addiction contraindicates their general use. The average reduction in lost productivity has been estimated at $1,249, at a cost of $25 per day of disability avoided. There is some indication that semi-regular use may reduce the frequency of attacks. The FDA has approved four drugs for migraine prevention. Scientists have devised one theory of migraine which explains these blood flow changes and also certain biochemical changes that may be involved in the headache process. Migraine patients have long been advised to try to identify personal headache triggers by looking for associations between their headaches and various suspected trigger factors. MAGNUM: Migraine Awareness Group: A National Understanding for Migraineurs, was created to bring public awareness utilizing the electronic, print and artistic mediums, to the fact that Migraine is a true biologic neurological disease, to assist Migraine sufferers, their families, and coworkers, and to help improve the quality of life of Migraine sufferers worldwide. . Prism has been proven effective at relieving motion sickness, which itself has many symptoms that are similar to the aura that accompanies migraine.

basilar artery migraine

Supplementation of coenzyme Q10 has been found to have a beneficial effect on the condition of some sufferers of migraines. Often a migraine episode is associated with strong emotional expression or psychic tension, but those may be migraine symptoms rather than migraine triggers. The mechanism of any association is unclear, but chronic abnormalities of cerebral blood vessel tone may be involved. As these arteries constrict, the flow of blood to the brain is reduced. * Solomon GD, Nielsen K, Miller D. However, ergotamine tablets (usually with caffeine), though sometimes effective, have fallen out of favour. Alimentary trigger factors that provoke migraine and tension-type headache. [6] Most optometrists avoid prescribing prism because, when incorrectly prescribed, it can cause headaches. More.

J Med Econ 1996;42:36-42. Medical costs per migraine sufferer (mostly physician and emergency room visits) averaged $107 over six months in one 1988 study, with total costs including lost productivity averaging $313. A combination product containing isometheptene (Midrin®) is not usually effective for migraine. Visual aura can include castellated scotoma or fortification spectra, multicolored zig-zag patterns which can cover a large part of the visual field of one eye (sometimes both). The multinational impact of migraine symptoms on healthcare utilisation and work loss. o FAQ on migraine treatment (Michigan Head Pain and Neurological Institute) o CVSA information on a potential migraine variant Cyclical Vomiting Syndrome o About Headaches / Migraine Information, support, and advocacy resources for Migraineurs. The trigger theory supposes that exposure to various environmental factors precipitates, or triggers, individual migraine episodes. Migraine had been thought to be caused by vasodilation in the head and neck; however, newer research suggests that vascular dilation associated with migraine is a symptom of migraine, not the cause of migraine symptoms. Non-pharmacological techniques for control of migraine are helpful to some patients.

The authors found little or no demonstrated evidence that notorious suspected triggers chocolate, cheese, or that histamine, tyramine, nitrates, or nitrites normally present in foods trigger headaches. * Adelman JU, Sharfman M, Johnson R, et al. Self-hypnosis exercises are also taught to control both muscle contraction and the swelling of blood vessels. Medical costs per migraine sufferer (mostly physician and emergency room visits) averaged $107 over six months in one 1988 study, with total costs including lost productivity averaging $313. * Caro JJ, Getsios D, Raggio G, Caro G, Black L. com o Migraine Advice and Treatment Information o Triptans: Overview and Profiles o The Migraine and Headache Program Retrieved from 'http://en. Kudzu root (Pueraria lobata) has been demonstrated to help with menstrual migraine headaches and cluster headaches. Opt. This is in contrast to patients who get only tension headaches.

* Litaker DG, Solomon GD, Genzen JR. 5 million Americans suffer from migraine, with women being affected three times more often than men. Br. The review authors also note that general dietary restriction has not been demonstrated to be an effective migraine therapy. BMJ 330:63. The artificial sweetener aspartame (NutraSweet) has not been shown to trigger headache, but in a large and definitive study monosodium glutamate (MSG) in large doses (2. Scientists have devised one theory of migraine which explains these blood flow changes and also certain biochemical changes that may be involved in the headache process. Aura was once thought to be caused by constriction of small arteries supplying specific areas of the brain. A large number of medications with varying modes of action can be used.

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