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Treatments for Complicated migraine

Treatment List for Complicated migraine

The list of treatments mentioned in various sources for Complicated migraine includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Trigger avoidance
  • Analgesics
  • Anti-emetics
  • Prophylaxis treatment
  • 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
    • Avoidance of 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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