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Ergotamine preparations are no longer readily available. [edit] Epidemiology * M Etminan et al (2005). Migraine characteristics include: * Pain typically on one side of the head * Pain has a pulsating or throbbing quality * Moderate to intense pain affecting daily activities * Nausea or vomiting * Sensitivity to light and sound * Attacks last four to 72 hours, sometimes longer * Visual disturbances or aura * Exertion such as climbing stairs makes headache worse Approximately one-fifth of migraine sufferers experience aura, the warning associated with migraine, prior to the headache pain. Arch Intern Med 1999;159: 857-863. 3 Economic impact o 9. While the most common type of aura is visual, it can manifest as any specific neurological symptom complex. While the risk of addiction is low, butalbital can be habit-forming if used daily, and it can also lead to rebound headaches. Dihydroergotamine (DHE), which must be injected or inhaled, can also be effective. Br.

Turville, A. The multinational impact of migraine symptoms on healthcare utilisation and work loss. If over-the-counter medications do not work, the next step for many doctors is to prescribe fioricet or fiorinal, which is a combination of butalbital (a barbiturate), acetaminophen (in fioricet) or acetylsalicylic acid (in fiorinal), and caffeine. . Some patients find relief from taking Benadryl or other anti-nausea agents. [edit] Pathophysiology Research scientists are unclear about the precise cause of migraine headaches. Sumatriptan and related selective serotonin receptor agonists are now the therapy of choice for severe migraine attacks that cannot be controlled by other means. Cost-benefit analysis of sumatriptan tablets versus usual therapy for treatment of migraine. There is some indication that semi-regular use may reduce the frequency of attacks.

Jump to: navigation, search Migraine [[Image:{{{Image}}}|190px|center|]] ICD-10 G43 ICD-O: {{{ICDO}}} ICD-9 346 OMIM {{{OMIM}}} MedlinePlus {{{MedlinePlus}}} eMedicine {{{eMedicineSubj}}}/{{{eMedicineTopic}}} DiseasesDB {{{DiseasesDB}}} Migraine is a neurologic disease, of which the most common symptom is an intense and disabling headache. * Solomon GD, Nielsen K, Miller D. * Solomon GD, Nielsen K, Miller D. Wilmut, E. Biofeedback has been used successfully by some to control migraine symptoms through training and practice. The average reduction in lost productivity has been estimated at $1,249, at a cost of $25 per day of disability avoided. Because their symptoms vary, an intense headache may be misdiagnosed as a migraine by a layperson. Such headaches are commonly misdiagnosed as sinusitis or chronic sinus infections. Sumatriptan injection reduces productivity loss during a migraine attack.

Migraine headaches are usually characterized by severe pain on one or both sides of the head, an upset stomach, and at times disturbed vision. Some experience unusual odors that are not actually present, fatigue, nausea, balance problems, and vertigo. They have few side effects if used in correct dosage and frequency. Annual employer cost of lost productivity due to migraines was estimated at $3,309 per sufferer. They may provide some relief, although they are not effective for most sufferers. If over-the-counter medications do not work, the next step for many doctors is to prescribe fioricet or fiorinal, which is a combination of butalbital (a barbiturate), acetaminophen (in fioricet) or acetylsalicylic acid (in fiorinal), and caffeine. A meta-analysis of several such studies published in the British Medical Journal in 2005 appeared to confirm this association, with young adult sufferers and women taking the oral contraceptive pill at particular risk. Migraine Elimination Diet Retrieved Aug. [edit] External links * General Information o Migraine Information from the US National Institute of Neurological Disorders and Stroke o Mayo Clinic on Migraines o A migraine series of articles from a neurologist who specializes in headaches and migraines o Migraine Headache: Clinical and Alternative Treatment o Migraine - gives a quick overview of the phenomenon as well as some suggestions on diet (from the BBC).

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The pain of migraine is a 'referred' pain that is typically felt around the eye or temple area. Native butterbur contains some carcinogenic compounds, but a purified version, Petodolax®, does not. Verify here WHA Please Take a Moment to Sign Our Guestbook, or Send Us E-mail e-mail webfirst Site Hosting darby Site Updating & Maintenance proxicom Initial Site Design & Programming About MAGNUM • What's New • Migraines: Myth & Reality • Disability & Impairment Treatment & Management • Where To Turn for Help • Communications & FAQs MAGNUM In the Media • Discussion Forums • Bookstore • Gift Shop • Search • Sponsors • Home Educational Resources Home About the NHF Subscriber Resources Educational Resources Events & Programs NHF Online Store Clinical Trials Press Room Links Join the NHF Make a Donation Healthcare professionals click here for resources for providers Consumer Topics | Medications | Spanish Topics MIGRAINE More than 29. The plant feverfew (Tanacetum parthenium) is a traditional herbal remedy believed to reduce the frequency of migraine attacks. ' 'Aura' refers to the non-headache features of migraine that often happen before, or in the place of, the actual headache. It is possible to have a migraine attack marked by other symptoms and no headache at all, which is called acephalgic migraine. Med Interface 1995;June:134-141. It can often be effectively prevented with medicines called calcium channel blockers. Opt.

Headache 2002;42:501-509. 1 Migraine triggers * 3 Treatment o 3. Alternative medical treatments with medications belonging to the group known as the Phenothiazines have proven useful as non-analgesic options for treating severe migraine headaches. * Solomon GD, Nielsen K, Miller D. It is advisable to start sessions as short in duration and then work up to longer treatments. Burden of migraine in the United States: disability and economic costs. * Federation of American Societies for Experimental Biology [FASEB] [1995]. * Lofland JH, Kim SS, Batenhorst AS, et al. Analysis of adverse reactions to monosodium glutamate (MSG).

Improvements in health-related quality of life with sumatriptan treatment for migraine. Anti-emetics by suppository or injection may be needed in cases where vomiting dominates the symptoms. [edit] Pathophysiology Research scientists are unclear about the precise cause of migraine headaches. Schmerz. [edit] Treatment * Pearce, J. The use of a diary to record events that may play a role in causing the headaches can be useful for you and your healthcare provider. Impact of oral sumatriptan on workplace productivity, health-related quality of life, healthcare use, and patient satisfaction with medication in nurses with migraine. Headache 1994;34:319-328. * Lofland JH, Johnson NE, Batenhorst AS, Nash DB.

If over-the-counter medications do not work, the next step for many doctors is to prescribe fioricet or fiorinal, which is a combination of butalbital (a barbiturate), acetaminophen (in fioricet) or acetylsalicylic acid (in fiorinal), and caffeine. In one controlled trial of acupuncture with a sham control in migraine, the acupuncture was not more effective than the sham acupuncture but was more effective than delayed acupuncture. Am J Manag Care 1996;2:1407-1416. Many factors can trigger migraine attacks, such as alteration of sleep-wake cycle; missing or delaying a meal; medications that cause a swelling of the blood vessels; daily or near daily use of medications designed for relieving headache attacks; bright lights, sunlight, fluorescent lights, TV and movie viewing; certain foods; and excessive noise. Cost-benefit analysis of sumatriptan tablets versus usual therapy for treatment of migraine. [edit] References [edit] Migraine triggers * Holzhammer J, Wober C. Br. That You Need to Know, is now available. * Gerth WC, Carides GW, Dasbach EJ, Visser WH, Santanello NC.

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