Principles of Migraine Management

Principles of Migraine Management


We know by now that we need to eat the right foods, need to work out, and do stuff that is healthy for us. Because maintaining good health does not happen by accident, it requires work and smart lifestyle choices. But sometimes when we wake up at 6 am to hit the gym before work or shunning the donuts in breakfast, it’s easy to lose sight of for what are we doing all these. So here are some top articles choices that can keep you motivated to lead a healthy lifestyle and keep diseases at bay.

Principles of Migraine Management

The most important aspect of management of migraine is to define diagnosis of migraine by the use of the criteria laid down by the International Headache Society. The management to a large extent also depends on the severity and disability the migraine headache is causing to the patient, because severe cases of migraine need appropriate preventive treatment along with treatment of acute attacks of migraine headache.
The next important aspect in the management of migraine headache is to educate the patient about the disease and to approach the disease practically. Patient education also encompasses to make the patient of migraine understand that the disease has an inherited tendency to headache and it is possible to modify and control migraine by lifestyle modifications (adjustments) and use of medications appropriately, although the disease cannot be cured. The better the patient understand the reality of migraine headache, the better the patient will be able to control the disease. Patient education about migraine also includes making the patient understand that it is not a serious and life threatening disease, the only exception is migraine in women on oral contraceptives.

Another important aspect in migraine management is to try to manage the disease with by non pharmacological (non drug) approach, such as use of yoga, meditation, hypnosis, conditioning techniques etc. all of which can help in reducing stress and help the patient to cope with stress better and over sensitivity to stress is one of the important triggering factors of migraine.

If migraine can not be managed satisfactorily the next is to try to use preventive management. Preventive management of migraine is can done with low dose of amitriptyline, propranolol, topiramate, gabapentin, or valproate etc. No single preventive medication mentioned here is effective for all patients and if one fails another should be tried. The effectiveness of any preventive medication mentioned here is 50-70%. If migraine can be well controlled with any of these drugs, it should be continued for about 6 months and tapered (slowly reduced and stopped).

With appropriate preventive measure it is possible to manage most migraine patients, but if preventive measure fails to give satisfactory result, the treatment of migraine should be directed at acute management or aborting acute attacks of migraine.

 

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