How to Treat Migraine and Get Pain Relief
Short-acting oral triptans include:
Long-acting oral triptans include:
The triptans that come in a nasal spray include:
And a triptan, Imitrex, is available as a self-administered subcutaneous injection.
Common side effects of triptans include nausea, dizziness, drowsiness, and muscle weakness.
Because one of their actions is to constrict blood vessels, triptans are not recommended for people at high risk of stroke or heart attack.
Two combinations of ergotamine and caffeine are still available in the United States: Cafergot, which is taken as a tablet, and Migergot, which is a rectal suppository. However, these drugs are less effective than triptans at stopping a migraine attack, and they usually cause nausea and vomiting as a side effect. They are rarely used in North America today, but continue to be used more widely in other parts of the world.
Like triptans, ergotamines are not recommended for people at high risk of stroke or heart attack.
Dihydroergotamine is also available as a self-injection and nasal spray, Migranal, neither of which is as effective as the drug administered intravenously.
CGRP Receptor antagonists
In 2019, the United States Food and Drug Administration (FDA) approved Ubrelvy (ubrogepant), an oral CGRP receptor antagonist – also known as a CGRP blocker or inhibitor – which is used to treat symptoms. in adults after a migraine attack has already started. Ubrelvy can be used to treat migraines with or without aura.
A higher dose gave these results for 22 percent and 39 percent of the participants, respectively.
Side effects of Ubrelvy include nausea, dizziness, drowsiness, and dry mouth.
Similar findings were also reported in research published in July 2019 in The New England Journal of Medicine.
The most common side effects of Nurtec ODT are nausea.
Unlike triptans, CGRP receptor blockers are believed to be safe for people with vascular disease that increases their risk for heart attack or stroke.
Glucocorticoids or steroids
Steroids should not be used long term due to side effects which may include sleeplessness, weight gain, and unwanted metabolic effects such as high blood sugar.
If your migraine attacks include nausea and vomiting, your doctor may prescribe an oral anti-nausea medication, also known as an antiemetic, to be taken with a pain reliever. Antiemetics used for migraine relief include:
Reglan increases muscle contractions in the upper digestive tract to speed up the rate at which food from the stomach is moved to the small intestine. Chlorpromazine and Compro, on the other hand, reduce nausea but do not affect the rate of gastric emptying.
Nerve blocks for acute migraine pain relief
Emergency treatment of refractory migraine
These drugs can include:
- Muscle relaxants
- Antiemetics (anti-nausea drugs)
To make sure you get the treatment you need when you seek emergency care, consider asking the doctor treating your migraine to write an emergency migraine treatment plan for you that you can bring with you. in hospital or emergency care center.