What are the commonly used medications for migraines?

This article discusses the knowledge points related to commonly used medications for migraines, hoping to be helpful to you. Let's start the formal explanation! What medication should be taken for migraines? Migraines cannot be cured, and the treatment goal is to reduce or stop the onset of headaches, relieve accompanying symptoms, and prevent headache recurrence. Treatment measures include medication and non-medication treatment. Medication treatment is divided into acute treatment and preventive treatment. Non-medication treatment mainly focuses on strengthening education, helping patients establish scientific and correct prevention and treatment concepts and goals, maintaining a healthy lifestyle, and identifying and avoiding various migraine triggers. Non-medication interventions include acupuncture, massage, physical therapy, biofeedback therapy, cognitive-behavioral therapy, etc.

What medications are used for migraines? Due to individual differences, there is no absolute best, fastest, and most effective medication. In addition to commonly used over-the-counter drugs, the most suitable medication should be chosen based on individual circumstances under the guidance of a doctor.

Clinical treatment of migraines usually involves taking medication immediately at the onset of symptoms. Treatment medications include non-specific analgesics (such as non-steroidal anti-inflammatory drugs, opioid drugs) and specific drugs (such as ergot derivatives, triptan drugs). The choice of medication should be based on the severity of the headache, accompanying symptoms, previous medication history, and other factors to individualize the treatment.

Mild to moderate headaches Single use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, naproxen, ibuprofen, diclofenac, etc., is effective. If ineffective, specific medications for migraines can be used. Opioid drugs such as pentazocine are also effective for acute migraine attacks, but they are addictive and not recommended for routine use.

For cases where the use of ergot derivatives or triptan drugs is contraindicated, such as those with heart disease, peripheral vascular disease, or migraines during pregnancy, pentazocine treatment can be given to terminate acute migraine attacks. Moderate to severe headaches For severe attacks, specific medications for migraines can be directly used to improve symptoms as soon as possible. Some patients with severe headaches but good response to NSAIDs in previous attacks can still use NSAIDs.

Ergot derivatives are suitable for patients with prolonged attack duration. Combination preparations such as ergotamine caffeine compounds can treat certain moderate to severe migraine attacks. Note: Adverse reactions to ergot derivatives and triptan drugs include nausea, vomiting, palpitations, restlessness, anxiety, and peripheral vasoconstriction. Long-term and excessive use can cause hypertension and ischemic necrosis of the limbs. Due to their strong vasoconstrictive effects, they are contraindicated in severe hypertension, heart disease, and pregnant patients. In addition, frequent use of ergot derivatives and triptan drugs can cause medication overuse headaches. It is recommended not to exceed 2-3 days of medication per week.

Treatment of accompanying symptoms For those with nausea and vomiting, it is necessary to use antiemetic drugs (such as intramuscular injection of metoclopramide 10 mg). For severe vomiting, low-dose chlorpromazine can be given. For those with restlessness, benzodiazepines can be given to promote sedation and sleep.

What medication is most effective for migraines? Yin-nourishing and bowel-relieving medication. What medication do experts recommend for relieving migraines? Calcium channel blockers such as verapamil and nimodipine can be used to prevent migraines. These medications block calcium ions from entering cells, reduce neuronal excitability, and alleviate migraine symptoms. However, these medications have adverse effects on the heart, liver, etc., and should be used under the guidance of a doctor.

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to alleviate symptoms of migraines, such as aspirin and ibuprofen. These medications can suppress inflammatory reactions and relieve headache symptoms. Long-term use increases the risk of gastrointestinal bleeding and should be used with caution.

Calcium channel blockers such as verapamil and nimodipine can be used to prevent migraines. These medications can block the entry of calcium ions into cells, reduce nerve excitability, and alleviate migraine symptoms. These medications have adverse effects on the heart, liver, etc., and should be used under the guidance of a doctor.

3. Calcium channel blockers In summary, different medications have different indications and contraindications for the treatment of migraines. It is necessary to select and use them under the guidance of a doctor. Additionally, it is important to make adjustments to diet and lifestyle habits, such as avoiding excessive fatigue, maintaining regular sleep patterns, and avoiding excessive alcohol consumption, as these can help alleviate migraine symptoms.

Tricyclic antidepressants such as amitriptyline and doxepin can be used as medications to prevent migraines. These medications can affect the transport and metabolism of neurotransmitters, reducing pain reactions. However, these medications have many adverse effects and should be used under the guidance of a doctor.

There are several medications for treating headaches. The treatment of headaches usually depends on the underlying cause. Secondary headaches caused by intracranial lesions, such as brain tumors, require surgical removal of the tumor. Additionally, headaches caused by cerebrovascular diseases, such as high intracranial pressure due to subarachnoid hemorrhage, must be treated by reducing the pressure in the skull.

Primary headaches, such as migraines, are common types of pain, especially in women. In the early stages, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and acetaminophen are commonly used. If these medications do not relieve the pain, specific drugs such as triptans and ergotamine caffeine can be used during acute episodes. Additionally, opioid drugs like codeine and morphine can also be used.

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