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* Mayo Clinic Staff. The word 'migraine' comes from the Greek construction 'hemikranion' (ημικρανίον, pain affecting one side of the head) [1]. Beyond an often pronounced placebo effect, general dietary restriction has not been demonstrated to be an effective approach to treating migraine. * Adelman JU, Sharfman M, Johnson R, et al. Additionally, the pain from a migraine is usually described as throbbing and moderate to severe in intensity. Both rizatriptan and zolmitriptan are available in an orally disintegrating tablet (Maxalt-MLT and Zomig-ZMT), which can be taken without water. Indeed, many other headaches, some of them caused by very serious diseases (like a brain tumour, hydrocephalus, brain vascular disorders) may have a great resemblance to the clinical picture of migraine and can lead to misdiagnosis. 57, 134-144. The workplace model of 9-5/ 7 days a week may not be viable for a migraine sufferer.

J Med Econ 1996;42:36-42. Many patients avoid taking their medications when an attack is beginning, hoping that 'it will go away'. The review authors also note that general dietary restriction has not been demonstrated to be an effective migraine therapy. It has a success rate similar to butterbur and co-enzyme Q10. Pharmacoeconomic evidence and considerations for triptan treatment of migraine. Anti-emetics by suppository or injection may be needed in cases where vomiting dominates the symptoms. B. At the same time, blood-clotting particles called platelets clump together-a process which is believed to release a chemical called serotonin. Dihydroergotamine (DHE) may be used for self-injection.

These have had many years of use and make up the majority of the items considered 'first line' therapy for migraine prevention. Contents [hide] * 1 Signs & Symptoms * 2 Pathophysiology o 2. 8, 62-89, contains a good review of the literature and theories existing in 1934, and includes the vascular theory of migraine that is popular today. Sumatriptan (Imitrex®), a 5-HT agonist, is available in self-injectable, nasal spray and rapidly-dissolving tablet forms. Advil® Migraine and Motrin® Migraine Pain, both ibuprofen medications, are approved to treat migraine headache and its pain. The error can be revealed by a CT scan of the sinuses, which will show inflammation in the sinuses if a sinus infection is present. J. The spasm closes down or constricts several arteries supplying blood to the brain, including the scalp artery and the carotid or neck arteries. Migraine Headache.

Regarding comparative effectiveness of these drugs used to abort migraine atacks, a 2004 placebo-controlled trial (Cephalalgia. The trigger of the migraine may be overactivity of nerve cells in certain areas of the brain (for example, the raphe nucleus). * Lipton RB, Silberstein SD, Stewart WF. Healthcare resource and low labour costs of migraine headaches in the US. * Adelman JU, Sharfman M, Johnson R, et al. In 2005, research was published indicating that in some people with a patent foramen ovale (PFO), a hole between the upper chambers of the heart, migraine might result and that the migraine ended if the hole were blocked. Total medical costs associated with migraines in the United States amounted to one billion dollars in 1994, in addition to lost productivity estimated at thirteen to seventeen billion dollars per year. A less frequently seen type of migraine is the Basilar Type Migraine, which, until recently had also been referred to as a Basilary Artery Migraine. Improvement in migrainespecific quality of life in a clinical trial of rizatriptan.

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* Cady RC, Ryan R, Jhingran P, O’Quinn S, Pait DG. * Lofland JH, Kim SS, Batenhorst AS, et al. 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. In migraine with aura, formerly called classical migraine, the headache phase is preceded or accompanied by a group of specific symptoms called aura, most commonly experienced as a visual disturbance prior to the attack. Cost-benefit analysis of sumatriptan tablets versus usual therapy for treatment of migraine. 5 grams) was associated with adverse symptoms including headache more often than was placebo. Additionally, the pain from a migraine is usually described as throbbing and moderate to severe in intensity. Many patients avoid taking their medications when an attack is beginning, hoping that 'it will go away'. Preventive medication has to be taken on a daily basis, usually for a few weeks, before the effectiveness can be determined.

The pain of migraine is a 'referred' pain that is typically felt around the eye or temple area. 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. * Solomon GD, Nielsen K, Miller D. Further studies are being conducted. Wilmut, E. Moderation in alcohol and caffeine intake, consistency in sleep habits, and regular meals may be helpful. Indeed, many other headaches, some of them caused by very serious diseases (like a brain tumour, hydrocephalus, brain vascular disorders) may have a great resemblance to the clinical picture of migraine and can lead to misdiagnosis. Empower Yourself! Visit Our Bookstore for Books To Learn About Migraine Disease! Awards, Membership, & Recognition access medinex healthnet healing well. At the same time, blood-clotting particles called platelets clump together-a process which is believed to release a chemical called serotonin.

Headache 2001;41:456-464. Physiol. It is possible to have a migraine attack marked by other symptoms and no headache at all, which is called acephalgic migraine. D. [edit] Acephalgic migraine Acephalgic migraine is a neurological syndrome. 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. Avoidance of identifiable trigger factors reduces the number of headaches a patient may experience. [edit] Migraine triggers Migraine is irregularly episodic, so there needs to be some explanation for why a particular migraine episode occurs at a particular time and not at another time. Massage Therapy and Physical Therapy are often very effective forms of treatment to reduce the frequency and intensity of migraines.

Changes in resource use and outcomes for patients with migraine treated with sumatriptan: a managed care perspective. These agents may have gastrointestinal side effects, which limit their use since larger than normal doses may be required to treat the migraine attack. There are a host of alternative choices for patients whose headaches do not respond to the first line medications. 3% of patients treated with 100 mg/day had a greater than 50% reduction in number of days with Migraine, making it more effective than most prescription prophylactics. . Moderation in alcohol and caffeine intake, consistency in sleep habits, and regular meals may be helpful. 's new book, Living Well with Migraine Disease and Headaches: What Your Doctor Doesn't Tell You. Changes in resource use and outcomes for patients with migraine treated with sumatriptan: a managed care perspective. Where possible, see a doctor to determine if the headaches are a symptom of something else.

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