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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. [edit] Economic impact In addition to being a major cause of pain and suffering, chronic migraine headaches are a significant source of both medical costs and lost productivity. Sumatriptan has been shown to result in an average of 0. Fewer than 1% reported any side effects. Preventive medication has to be taken on a daily basis, usually for a few weeks, before the effectiveness can be determined. Many people report that one or more dietary, physical, hormonal, emotional, or environmental factors precipitate their migraines. Reacting to the reduced oxygen supply, certain arteries within the brain open wider to meet the brain's energy needs. Stress and/or underlying depression are important trigger factors that can be diagnosed and treated adequately. Zomig also comes in a nasal spray.

At the same time, blood-clotting particles called platelets clump together-a process which is believed to release a chemical called serotonin. Stress and/or underlying depression are important trigger factors that can be diagnosed and treated adequately. Early speculation as to the cause of the relationship has centered on the idea that the lungs detoxify blood as it passes through. These include propranolol, timolol, topiramate and divalproex sodium. This widening or dilation spreads, finally affecting the neck and scalp arteries. Titration of the doses may be needed to reduce adverse effects to medicines. Arch Intern Med 1999;159: 857-863. * Litaker DG, Solomon GD, Genzen JR. They are highly effective, reducing the symptoms or aborting the attack within 30 to 90 minutes in 70-80% of patients.

Migraine often runs in families and starts in adolescence, although evidence indicates that it starts also in childhood (including infants) or even in utero. Many patients avoid taking their medications when an attack is beginning, hoping that 'it will go away'. Sumatriptan injection reduces productivity loss during a migraine attack. Improvement in migrainespecific quality of life in a clinical trial of rizatriptan. Prevalence of migraine headache in the United States. 1 Trigger avoidance o 3. Am J Health Syst Pharm 1996;53:633-638. Chemicals which cause inflammation and swelling, and substances which increase sensitivity to pain, are also released. Serotonin acts as a powerful constrictor of arteries, further reducing the blood supply to the brain.

[edit] Treatment * Pearce, J. These include propranolol, timolol, topiramate and divalproex sodium. That You Need to Know, is now available. Additionally, the pain from a migraine is usually described as throbbing and moderate to severe in intensity. ! MEMBER OF THE PRESS? VISIT MAGNUM'S VIRTUAL PRESS ROOM Read About Our Last Washington D. Many migraine sufferers have headache without aura. 1 Migraine triggers * 3 Treatment o 3. Triptan therapy has been shown to result in a reduction in lost productivity. 7 fewer missed workdays within the first six months, as well as a reduction in the number of days spent working while symptomatic.

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[edit] Alternative approaches Because the conventional approaches to migraine prevention are not 100% effective and can have unpleasant side effects, many seek alternative treatments. . An update on the epidemiology of migraine. * Caro JJ, Getsios D. [5] Turville's and Wilmut's conclusions have largely been ignored since 1956 and it is widely believe that vision problems are not migraine triggers. While the types and severity of aura can be extremely diverse, a given sufferer will generally experience similar manifestations of aura with each migraine attack. * Cohen JA, Beall DG, Miller DW, Beck A, Pait G, Clements BD. Fewer than 1% reported any side effects. It can be fitted by dentists and clips over the front teeth at night, preventing contact between the back teeth.

[edit] Preventive drugs Patients who have more than two headache days per week are usually recommended to use preventatives and avoid overuse of acute pain medications. Changes in resource use and outcomes for patients with migraine treated with sumatriptan: a managed care perspective. 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. 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. [3] [edit] Symptomatic control to abort attacks Migraine sufferers usually develop their own coping mechanisms for intractable pain. Other 5-HT agonists are almotriptan (Axert®), naratriptan (Amerge®), rizatriptan (Maxalt®), zolmitriptan (Zomig®), frovatriptan (Frova®) and eletriptan (Relpax®). 5 fewer missed workdays during the first three months of therapy and 0. J. * Greiner DL, Addy SN.

Aura was once thought to be caused by constriction of small arteries supplying specific areas of the brain. 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. Migraine Elimination Diet Retrieved Aug. 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. It is advisable to start sessions as short in duration and then work up to longer treatments. [edit] Preventive drugs Patients who have more than two headache days per week are usually recommended to use preventatives and avoid overuse of acute pain medications. * Greiner DL, Addy SN. That You Need to Know, is now available. The effects of migraine may persist for some days after the main headache has ended.

Click the link below to read more of MAGNUM's Mission Statement, or scroll down to view the rest of our HomePage. [edit] Acephalgic migraine Acephalgic migraine is a neurological syndrome. 's new book, Living Well with Migraine Disease and Headaches: What Your Doctor Doesn't Tell You. Excedrin® Migraine (a combination of aspirin, acetaminophen and caffeine) is indicated for migraine and its associated symptoms. The annual net savings in reduced health care costs and lost productivity, over the increased cost of triptan therapy, has been estimated at between $114 and $540 per patient; thus the use of these pharmaceuticals represents a cost savings as well as an improvement in the patients’ quality of life. * Hu XH, Markson LE, Lipton RB, Stewart WF, Berger ML. At the same time, blood-clotting particles called platelets clump together-a process which is believed to release a chemical called serotonin. The word 'migraine' comes from the Greek construction 'hemikranion' (ημικρανίον, pain affecting one side of the head) [1]. A large number of medications with varying modes of action can be used.

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