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The most-often reported triggers include stress, alcohol, foods, too much or too little sleep, and weather. A spreading depolarization (electrical changes) may begin 24 hours before the attack, with onset of the headache occuring at about the time of maximum brain coverage. Sufferers of acephalgic migraine are more likely than the general population to develop classical migraine with headache. Beyond an often pronounced placebo effect, general dietary restriction has not been demonstrated to be an effective approach to treating migraine. Healthful lifestyles including regular exercise and avoidance of nicotine may also enhance migraine management. 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. Many people experience difficulty in speaking and/or forming cohesive syntax. 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. * Santanello NC, Polis AB, Hartmaier SL, Kramer MS, Block GA, Silberstein SD.

wikipedia. Dihydroergotamine (DHE), which must be injected or inhaled, can also be effective. * Lofland JH, Johnson NE, Batenhorst AS, Nash DB. Beyond an often pronounced placebo effect, general dietary restriction has not been demonstrated to be an effective approach to treating migraine. 13, 93-97, replicated Turville's work. Typically this advice is accompanied by a list of trigger factors. Titration of the doses may be needed to reduce adverse effects to medicines. Arch Intern Med 1992;156:1273-1278. The plant feverfew (Tanacetum parthenium) is a traditional herbal remedy believed to reduce the frequency of migraine attacks.

Sumatriptan injection reduces productivity loss during a migraine attack. [edit] Pathophysiology Research scientists are unclear about the precise cause of migraine headaches. * All text is available under the terms of the GNU Free Documentation License (see Copyrights for details). 2. Click to verify. Opt. 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. Massage Therapy and Physical Therapy are often very effective forms of treatment to reduce the frequency and intensity of migraines. 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.

Arch Intern Med 1999;159: 857-863. 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. 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. BMJ 330:63. Some experience aura without migraine, a condition formerly called amigrainous migraine or optical migraine, now usually called acephalgic migraine. Magnum's Web site is the most comprehensive and up-to-date Web site about Migraine disease available on the Internet. 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. Excedrin® Migraine (a combination of aspirin, acetaminophen and caffeine) is indicated for migraine and its associated symptoms. Such headaches are commonly misdiagnosed as sinusitis or chronic sinus infections.

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[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). Activities such as combing their hair or shaving may be painful or unpleasant. This is one of the few types with a know etiology, a defect in atomic-size pores in the cell membranes of nerves that admit calcium into the cell. Advil® Migraine and Motrin® Migraine Pain, both ibuprofen medications, are approved to treat migraine headache and its pain. Headache. We subscribe to the HONcode principles of the HON Foundation. 5 million Americans suffer from migraine, with women being affected three times more often than men. Improvements in health-related quality of life with sumatriptan treatment for migraine. Now we know that aura is due to transient changes in the activity of specific nerve cells.

Other symptoms of Basilar Type Migraine may include depersonalization, auditory and visual hallucinations, and a distorted time sense. The review authors also note that general dietary restriction has not been demonstrated to be an effective migraine therapy. Deep massage can trigger a migraine attack in a person who is not used to such treatments. * Osterhaus JT, Gutterman DL, Plachetka JR. Sufferers of acephalgic migraine are more likely than the general population to develop classical migraine with headache. These include propranolol, timolol, topiramate and divalproex sodium. Stay tuned for a possible Migraine Awareness Art Exhibition Closing and book signing in January or early February, 2006, with another opportunity to meet author & MAGNUM Support Advisor Teri Robert, Ph. Many sufferers report a sore feeling in the area where the migraine was, and some report impaired thinking for a few days after the headache has passed. 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.

* Gerth WC, Carides GW, Dasbach EJ, Visser WH, Santanello NC. 1 Migraine triggers * 3 Treatment o 3. org/wiki/Migraine' Categories: Headaches | Migraine Views * Article * Discussion * Edit this page * History Personal tools * Sign in / create account Navigation * Main Page * Community Portal * Current events * Recent changes * Random article * Help * Contact us * Donations Search Toolbox * What links here * Related changes * Upload file * Special pages * Printable version * Permanent link * Cite this article In other languages * Deutsch * Eesti * Español * Français * עברית * Ido * Nederlands * Norsk (nynorsk) * Norsk (bokmål) * Polski * Português * Suomi MediaWiki Wikimedia Foundation * This page was last modified 04:17, 28 January 2006. Risk of ischaemic stroke in people with migraine: systematic review and meta-analysis of observational studies. * Adelman JU, Sharfman M, Johnson R, et al. Some suspected dietary trigger factors appear to genuinely promote or precipitate migraine episodes, but many other suspected dietary triggers have never been demonstrated to trigger migraines. * Lipton RB, Silberstein SD, Stewart WF. S. However, ergotamine tablets (usually with caffeine), though sometimes effective, have fallen out of favour.

o Acupuncture Scientifically Proven to Ease Headache Pain health. * Cohen JA, Beall DG, Miller DW, Beck A, Pait G, Clements BD. It is used only if attacks occur more often than every two weeks. Acute medications are most effective when taken early in an attack, while the pain is still mild and before skin sensitivity increases. However, it is important to be treated by a well-trained therapist who understands the pathophysiology of migraines. * Lipton RB, Silberstein SD, Stewart WF. Sumatriptan injection reduces productivity loss during a migraine attack. BMJ 330:63. 5 million Americans suffer from migraine, with women being affected three times more often than men.

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