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Treatments for Migraine with or without aura, susceptibility to, 3

Treatment List for Migraine with or without aura, susceptibility to, 3

The list of treatments mentioned in various sources for Migraine with or without aura, susceptibility to, 3 includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Treatment of migraine needs to be individualised, and depends upon the type, frequency and severity of attacks, the age of the patient and other coexisting health problems. Treatments include:
    • Patient education regarding prevention and management of attacks
    • Avoid trigger factors - dietary factors, bright lights, lack of sleep
    • Dietary management - chocolate, cheese, red wine, walnuts, tuna, spinach and liver, have all been implicated in triggering migraines
    • Avoidance of oral contraceptive pill and hormone replacement therapy which may trigger migraine in some patients
    • Healthy lifestyle
    • Treatment of acute attacks
      • Recognise early signs of migraine and institute treatment early
      • Rest in a cool, dark room
      • Cold packs may help
      • Some patients may be able to 'sleep off' attacks, and temazepam or diazepam taken on an as need basis may help
    • Medications
      • Aspirin (soluble)
      • NSAID's - ibuprofen, naproxen
      • Paracteamol
      • Opioids - should be actively avoided as problems can easily develop with dependence and abuse
      • Metoclopramide - for nausea and vomiting
      • Domperidone - for nausea and vomiting
      • Prochlorperazine - for nausea and vomiting
      • Ergotamine, dihydroergotamine
      • Triptan agents - sumatriptan, zolmitriptan, naratriptan
      • Chlorpromazine - used IV in severe migraine
    • Prevention of attacks
      • Avoidance of trigger factors
    • Medications - indicated when a patient has 2 - 3 severe attacks each month which respond poorly to abortive treatment

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