Management Of Migraine

Sunil Kumar Daha

Janakpur, Nepal

Approach:

1. Non pharmacological

2. Symptomatic

3. Migraine specific abortive treatments

4. Migraine prophylactic treatment

Management Of Migraine

MANAGEMENT

1 .Non pharmacological

• Regular exercise, good hydration , avoidance of sleep deprivation and abrupt sleep schedule changes

• Avoidance of dietary and alcohol-related ‘ trigger’ if present.

• Women with aura should avoid estrogen treatment for either oral contraceptive or hormone replacement.

2. Symptomatic

• Non specific pain medication for migraine headache episode

• Aspirin ,Paracetamol, NSAID, metoclopramide

3. Migraine specific abortive treatments

• Sumatriptan

• Caution is needed with ergotamine preparation since they may lead to dependence .

4

References

• Davidson’s Princples and practice of Medicine