In addressing the problem of migraines, the medical establishment is working hard these days at learning and promoting preventive measures, but sometimes migraine medications are the only answer, when the measures don’t help and the advent of the headache just can’t be stopped. There are various levels of treatment and strengths and combinations of drugs, and depending on the severity of the head pain, doctors usually have patients start with the simplest and work their way up in an effort to gain relief.
The first types of medications generally given for migraines are the non-steroidal anti-inflammatory drugs, or NSAIDS. These are more familiar to people as acetaminophen, aspirin, ibuprofen and naproxen. They are generally over-the-counter drugs, so people whose migraines tend to be mild can self-prescribe, and sometimes nip the headaches in the bud. Occasionally, when combined with caffeine, these can bring not just migraine relief but also relief from the nausea that tends to accompany this condition.
Migraine treatment involves a bit of trial-and-error, moving from the simpler migraine medications for less severe cases to those that pack more of a punch against stronger headaches. Migraine specialists might try triptans if the over-the-counter drugs don’t touch the headache, or they could even resort to opiates. Those, of course, bring the risk of possible addiction, so they are used as little as possible. The doctors need to balance the need for a treatment strong enough to handle the illness, but not so overpowering that it creates worrisome side effects.
Other treatments involve combining different drugs as medication for migraines, so a drug like Fioricet would have butalbital (a barbiturate) with aspirin, paracetamol (acetaminophen) and caffeine. Severe headaches that don’t respond to drug treatments, called refractory migraines, are sometimes treated intravenously with drugs like Decadron, Phergan, Keppra, and so on. Intravenous treatment aims at rebalancing the internal fluids and electrolytes as well as easing the pain.
Migraine medications have now become good enough that for the most part they can tackle even the most extreme instances of the illness. The research into the causes, triggers and mechanisms of migraine disease still has a considerable distance to go, but it’s likely that most of the basics have been covered. This means that those who suffer from this illness have a great many treatment options open to them, and for this fact, millions are very grateful.
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