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Justin Dicks
Superintendent Pharmacist
GPhC Number 2038305
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A migraine is a type of headache that causes intense, throbbing pain, usually on one side of the head. It can be accompanied by nausea, vomiting, and sensitivity to light or sound. Migraines can last anywhere from a few hours to several days and often interfere with daily activities.
The exact cause of migraines isn’t fully understood, but they’re thought to be linked to temporary changes in brain activity and blood flow. Genetics and environmental factors also play a role. Common triggers include stress, hormonal changes, lack of sleep, certain foods, and caffeine withdrawal.
Migraine symptoms typically include severe head pain, visual disturbances (known as aura), nausea, and sensitivity to light or sound. Some people also experience dizziness or difficulty concentrating. The symptoms can vary in intensity and duration from one migraine attack to another.
The triggers can vary from person to person but commonly include stress, hormonal fluctuations, bright lights, strong smells, and certain foods like cheese or chocolate. Dehydration, alcohol, and skipped meals can also bring on an attack. Keeping a migraine diary can help you identify and avoid your personal triggers.
Migraine treatment usually involves pain relief medications and specific anti-migraine drugs known as triptans. There are options like Sumatriptan, Rizatriptan, or Zolmitriptan that work by narrowing blood vessels in the brain and blocking pain signals. Lifestyle adjustments such as stress management, adequate sleep, and hydration can also reduce migraine frequency.
Triptans work by stimulating serotonin receptors in the brain, which helps reverse the widening of blood vessels believed to cause migraine pain. They also block pain pathways to reduce symptoms like nausea and sensitivity to light. Triptans are most effective when taken early in a migraine attack.
A migraine can last anywhere from 4 to 72 hours if untreated. The duration often depends on the individual, their triggers, and how quickly treatment is started. Using effective medications at the first sign of symptoms can shorten the length and intensity of the attack.
Chronic migraine is diagnosed when a person experiences headaches on 15 or more days each month, with at least 8 of those being migraine attacks. This can significantly affect quality of life and may require preventive treatment. Managing triggers and following a treatment plan can help reduce attack frequency.
Some migraines may resolve without treatment, especially mild cases, but most people find the pain too intense to wait it out. Without proper care, symptoms can last for days and may return more frequently. Using migraine-specific medication early can prevent attacks from worsening.
If migraines are left untreated, the pain and associated symptoms can become more frequent or severe over time. Chronic migraines can impact sleep, mental health, and productivity. Early and consistent treatment helps reduce long-term complications and improves overall quality of life.
Most adults can safely use migraine treatments like triptans or over-the-counter pain relief, but some people with heart disease, high blood pressure, or vascular problems may need alternatives. Always check with a healthcare professional before starting new medication. At e-Surgery, a short consultation ensures you receive the most suitable option.
Migraine medications like Sumatriptan and Rizatriptan are considered safe when used as directed. Common side effects can include drowsiness, dizziness, or tingling sensations, but these are usually mild and short-lived. Always follow the recommended dosage and avoid combining treatments without medical advice.
Migraine treatment during pregnancy usually focuses on safe, non-medicated approaches such as rest, hydration, and managing triggers. In some cases, a doctor may recommend certain pain relief options that are considered low-risk. You should always speak to a healthcare professional before taking any medication while pregnant.
Hormonal changes, especially fluctuations in oestrogen, can make migraines more frequent or intense during pregnancy. Fatigue, dehydration, and irregular eating patterns can also contribute. The good news is that for many people, migraines often improve in the later stages of pregnancy.
While migraines can’t always be prevented, identifying and managing your triggers can significantly reduce their frequency. Maintaining regular sleep, hydration, and meal schedules, as well as reducing stress, are key strategies. Some people also benefit from preventive medications prescribed by their doctor.