Medication for Migraine

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Prescription Drugs

     There are many different prescription drugs available for migraine treatment today. The most commonly used ones include ergotamines, triptans, beta-blockers, and anti-depressants among others.  Let's look at how each of these drugs work.

Ergotamine and Dihydroergotamine
     Ergotamines work by constricting the blood vessels in the head. When the vessels are constricted, the pain is decreased or eliminated. Ergotamine is supplied in an oral tablet, a suppository, or an inhaled form, and is often in combination with caffeine to improve absorption. The disadvantage to ergotamines is that they can result in rebound headaches (headaches caused by removal of the medication) and can't be taken if pregnant. Some side effects include nausea, dizziness and anxiety.

Triptans
     The triptan family of drugs includes sumatriptan, zolmatriptan, and naratriptan, among others.  They all have a similar method of relieving migraine pain. They raise the level of serotonin in the brain, which stops the dilation of the blood vessels and relieves the migraine. They are non-addictive and don't result in rebound headaches, but they have some side effects that can make the user feel uncomfortable for a while, such as muscle soreness.  They can't be taken if the user suffers from high blood pressure, high cholesterol levels, or if you are pregnant.

Beta-Blockers
     Beta-blockers work by preventing migraine. They inhibit the blood vessels from dilating all the time, not just when a migraine occurs.  The disadvantages of using beta-blockers are that they decrease your blood pressure and so can result in fainting or dizziness.  They also can aggravate asthma and cause coughing.

Anti-Depressants
     Anti-depressants are also a preventative medication. They increase the level of serotonin in the brain, and thus decrease the incidence of migraine. Side effects can include weight loss, decreased sexual libido, and confusion or agitiation.


Last updated April 3, 2003 by Shannon Mewha


Migraine Info

Migraine information at MEDline

MAGNUM awareness group

Migraine Trust - information and support

International Headache Society

Migraine Canada

AboutHeadaches.com


Medication


Alternative Treatment


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