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The dilation of these arteries triggers the release of pain-producing substances called prostaglandins from various tissues and blood cells. Changes in resource use and outcomes for patients with migraine treated with sumatriptan: a managed care perspective. Doctors start patients off with simple analgesics, such as paracetamol (acetaminophen), aspirin and caffeine. Serotonin acts as a powerful constrictor of arteries, further reducing the blood supply to the brain. [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). Self-hypnosis exercises are also taught to control both muscle contraction and the swelling of blood vessels. Cost considerations also may lead to increased use of preventive medications. The pain of migraine is a 'referred' pain that is typically felt around the eye or temple area. 5 grams) was associated with adverse symptoms including headache more often than was placebo.

The pain from a migraine is typically one-sided, though it may encompass the whole head, or move from side-to-side as the migraine progresses. 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. Some people will have tingling in their arm or face or difficulty speaking. Changes in resource use and outcomes for patients with migraine treated with sumatriptan: a managed care perspective. Some patients find relief from taking Benadryl or other anti-nausea agents. * Solomon GD, Nielsen K, Miller D. * Santanello NC, Polis AB, Hartmaier SL, Kramer MS, Block GA, Silberstein SD. 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. Biofeedback As an alternative to drug therapy, this training uses special equipment that monitors physical tension to teach the patient how to control the physical processes that are related to stress.

Self-hypnosis exercises are also taught to control both muscle contraction and the swelling of blood vessels. Arch Intern Med 1999;159: 857-863. These drugs can be used either as a preventive or abortive therapy. 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. For a brief tour of what awaits you inside, here is Alice to show you though the cyber looking glass some of what you will find to help you understand this major public health issue- Help us fight Migraines MAGNUM Support Advisor, Teri Robert, Ph. * Hu XH, Markson LE, Lipton RB, Stewart WF, Berger ML. Here we focus on the serious nature of Migraine, as well as headache and head-pain issues. Although sometimes comparable in severity, the symptoms of migraine differ from those of cluster headache. There is currently no test to confirm the diagnosis of migraine Treatment Many factors may contribute to the occurrence of migraine attacks.

[edit] Treatment * Pearce, J. There is some indication that semi-regular use may reduce the frequency of attacks. For patients who have been diagnosed with recurring migraines, doctors recommend taking painkillers to treat the attack as soon as possible. * Solomon GD, Nielsen K, Miller D. These drugs are available only by prescription (US and UK). Kudzu Monograph at Med-Owl. Click the link below to read more of MAGNUM's Mission Statement, or scroll down to view the rest of our HomePage. A large number of medications with varying modes of action can be used. That You Need to Know, is now available.

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2. Cannabis has been reported to help people through an attack by relieving the nausea and dulling the head pain. [edit] Alternative approaches Because the conventional approaches to migraine prevention are not 100% effective and can have unpleasant side effects, many seek alternative treatments. S. Sumatriptan has been shown to result in an average of 0. Migraines can be associated with seizures. We subscribe to the HONcode principles. 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. Regarding comparative effectiveness of these drugs used to abort migraine atacks, a 2004 placebo-controlled trial (Cephalalgia.

Acute The Food and Drug Administration (FDA) has approved three over-the-counter products to treat migraine. Arch Intern Med 1999;159:813-818. In children, migraine has some distinct features: headache is more often bilateral or difficult to localize, the patient is unable to describe the symptoms with significant accuracy; in infants, migraine attacks may be manifested by periods of somnolence or irritability. Typically this advice is accompanied by a list of trigger factors. The aura symptoms associated with these migraines are very similar to the symptoms of Chronic Fatigue Syndrome, and thus it is possible that the two may be related, or even the same. * Adelman JU, Sharfman M, Johnson R, et al. Patients who experience migraines often find that the recommended treatments are not 100% effective at preventing migraines. Fam Med 1996;28:171-177. The PFO allows blood to go directly from the right side of the heart to the left without passing through the lungs.

These, as with most elements of migraine, need to be individualized to the patient. DHE is also available as the nasal spray Migranal. In contrast, treating the attack at the onset can often abort it before it becomes serious, and can reduce the frequency of subsequent attacks in the near-term. 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. 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. Avoidance of identifiable trigger factors reduces the number of headaches a patient may experience. Triptan therapy has been shown to result in a reduction in lost productivity. Pain can also occur in the face, sinus, jaw or neck area. Headache 2002;42:501-509.

However, ergotamine tablets (usually with caffeine), though sometimes effective, have fallen out of favour. 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. * Cohen JA, Beall DG, Miller DW, Beck A, Pait G, Clements BD. Stress and/or underlying depression are important trigger factors that can be diagnosed and treated adequately. 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. 2005 Apr 2; Epub ahead of print. Both studies are subject to criticism because of sample bias, sample size, and the lack of a control group. ' 'Aura' refers to the non-headache features of migraine that often happen before, or in the place of, the actual headache. 13, 93-97, replicated Turville's work.

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