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The episodes of migraines are not just an easy headache. They are part of the migraine disorder, a neurological disorder, and bring a variety of symptoms that can include intensive headache episodes, especially on one side of the head. Sensitivity to light, noises and smells; Tingling or deafness in their arms or legs, mood and intensive changes in fatigue, among other things, symptoms.
This chronic disease can be difficult to treat, but many different migraine treatments are available. We communicate with Jessica Ailani, MD, FAHS, neurologist and director of the Georgetown Head Dolores Center to get further information about the therapeutic options for people living with migraine diseases.
What types of treatments can I use for the beginning of the symptoms of a migraine episode? (without and with a medical recipe)
The treatments used when the symptoms of Migrañas begin are called crisis treatments. This includes medication without a prescription, NSAIDS (not steroid anti -inflammatories), the aspirine, ibuprofen, naproxen and paracetamol, combined treatments such as aspirin, paracetamol and caffeine, devices and medication with prescription.
For some cold compresses and massages with ice cream are also useful during an episode. While there are not many studies that support this, people who suffer from migraine diseases often apply ice cream in their minds and necks during an episode.
If the treatments are not effective without a prescription, you must talk to your medical provider (HCP) about recipe medication.
Neuromodulation devices are a method without medication for the treatment of an episode of migraines after the start, but must also require medical recipes. The devices work in different ways to reduce the abnormal signal transmission of the brain that occurs during an episode of migraines. The devices for crisis treatments for the prevention of migraines approved by the FDA [Administración de medicamentos y alimentos]Close Stns [neuromodulación transcutánea supraorbitaria] (Cephaly), remote electrical neuromodulación (nerivio), emtpu (e-neura), ecots [sistemas de neuroestimulación occipital y trigeminal externa] (Relivion) y Envni (gammacore).
The most common recipe medication prescribed for migraines are tryptans. These are medication used for an episode and work to block chemicals that are released during the pain phase of a migraine episode. Triptans can be compressed that can swallow, tablets that dissolve in the mouth, nose leosols and injections that the same patient can apply.
The different modalities are important because migraines can cause nausea and vomiting. If the nausea or the feeling that you cannot eat or drink during an episode, it is common for you, it is important that you use a medication that is used by the nose or by injections. Triptanes should not be used for more than 10 days a month or can cause something that is called jump or headache due to drug abuse (cam). They also do not work well in late phases of migraine phases.
Another category of crisis treatments are the jug. Pantedes are also used especially for migraine pisodes and can be used as tablets, soluble oral tablets or nasal noseosols. They have less collateral effects than triptans and can be used in a wider area of populations, but for certain people they may not be as effective as triptans. Panted blocks a protein called PRGC that is involved in the process of migraine episodes. It was shown that a pantic works when it is absorbed during the Prodrom or Aura phase (before the migraine begins). It is not believed that the hooked headache causes back rim and can be advantageous for people with more common episodes.
A third category of crisis treatments is Centeno Cornez. Centeno Cornzuelos block a larger amount of chemicals that are involved in migraines, so that they can sometimes be effective if other treatments are not the case. Centeno Cornzuelos can be used as nostrils or injections and can work in early or late stages of migraine pisodes.
Are there treatments to prevent migraines? (without and with a medical recipe)
Preventive treatments are used to reduce the frequency of migraine pisodes and disabilities. Preventive treatments include behavioral therapies, vitamin preparations, neuromodulation devices and medication that can prescribe clinical specialists.
People with migraines should consider changes in their lifestyle. This includes:
- Regular sleep and awakening plans
- Regular hours to eat
- Good water fluid, drink water when they are thirsty
- Regular exercise, move your body every day, even if you have an episode of headaches. Test the static stretch or list a relaxing yoga posture.
- Control stress: meditate, practice deep breathing techniques, train and move your body regularly, write a newspaper, listen to relaxing music and avoid negative situations.
Behavioral interventions can be used individually or in addition to medication to reduce the frequency of migraines. One of the best behavioral techniques that have been examined to reduce frequent migraine pisodes include Bioretro -Food, Progressive Muscle Relaxation and Cognitive Behavioral Therapy if you have generalized fear or fear of your migraine episodes or if you have difficulty acting with chronic pain. Other types of interventions are examined, including full conscience, acceptance and commitment therapies.
Vitamin preparations, for which there are good evidence of the prevention of migraines, belong to riboflavin, magnesium and petasites. Petasita should be used in accordance with the instructions of a medical utility because it could be dangerous for their liver health if it is used incorrectly. There are other nutritional supplements used for migraine prevention, but studies are not so robust that they know whether they are effective.
There are many medication available to prevent migraines. There are specific treatments for migraines that block PRGC, a protein that is involved in the migraine process. Tablets that block PRGC can be administered daily or every two days. They can be administered monthly or quarterly in injections of monoclonal antibodies that block the PRGC. It is possible that the tablets are more convenient for certain people, but a monthly or quarterly injection could even be easier to manage. In order to make a decision about which medicine is better for you, it would be good if you have a conversation with your medical provider to evaluate the potential security effects.
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There are also medication that are older and cheap because they have been available for decades, and it has been shown that they reduce the frequency of migraines. This includes some drugs for blood pressure, anticonvulsant medication and certain antidepressants.
For people with chronic migraines (more than 15 days with migraines per month for three months, of which eight days with migraine properties gives headaches), injections with onabotulinum toxin (botox) are a therapeutic option approved by the FDA. A properly trained injector follows a specific protocol for injections to apply the treatment every 12 weeks in order to reduce the frequency of migraines and disability.
Finally, the neuromodulation devices mentioned above are mentioned.
In which situation should you consider using preventive therapy?
If you have six or more episodes of migraines per month, you should consider implementing preventive therapies.
You should also talk about preventive therapies with your medical supplier if you have two or more episodes of migraines per month and if you cannot go to work or other important events of your life if you do not have good crisis treatment that works for your episodes or if you have crises in connection with serious symptoms (e.g. muscle weakness during migraine episodes).
How can I determine which treatment will work for me?
At the moment there is no good way to know which treatment will work for you without trying out several options and seeing what works.
Are there alternative therapies such as cognitive behavioral therapies (TCC), acupuncture or bioretroalimment, what should you consider?
There is enough evidence that indicates that Bioretro -Food reduces the number of migraines -episodes, experience people, and the severity of their migraine episodes compared to people who do not receive therapy, but such evidence does not indicate that it is more useful than medication or TCC, alternatives that support their effectiveness. Acupuncture has mixed evidence, but I recommend them to patients who are interested in their costs (and can pay for their costs and are missing in work), because it can be useful to reduce the frequency of episodes.
Should he take part in advice with a headacon specialist? How do I find one?
A good place to start treatment is with your medical provider or a general neurologist, since there are only a few headache specialists in the United States. If you believe that there is no improvement or if you have different types of diseases or headache diseases together with your headache, a headacon specialist would be the next step.
In order to find a certified specialist and specialize in headaches, you can use the list of the neurological sub -specialties of the United Council.
This educational resource was created with the support of Pfizer.
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