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A Migraine Guide

A Migraine Guide

A Migraine Guide

After the revolution of science, world has turned quite faster than ever before. The race of being ahead has taken alot from humanity. The depleating health and lifespan of people these days is the greatest example. Apart from this, many common problems are prevailing among us which our ancesstors probably not have heard about. One of them is what we call today as Migraine.

What is Migraine?

Migraine is an extreme headache with hammering pain and palpitations on usually one side of the head.

Causes of Migraine:

1- Stress: Physical or psychological stress can be the cause of migraine.

2- Hormonal Changes: Shifts in hormonal levels during pregnancy and menstrual cycles trigger migraine pain.

3- Medications: Contraceptives and vasodilators provoke migraine pain.

4- Sensory Stimuli: Beaming and bright lights, loud sound or some strong smells can also aggravate the pain.

5- Foods: Additives in food and some food items like old cheese and processed food items also increase pain.

6- Physical Exertion: Physical stress like intense physical workout and sexual activity can increase migraine pain.

7- Weather and Pressure: Atmospheric pressure and changes in weather can also trigger migraine pain.

8- Caffeine: Having too much coffee and tea can also prompt severe pain.

9- Alcohol: Drinking alcohol can aggravate migraine pain to an extreme.

10- Sleep: Sleeping too much or not sleeping enough both can trigger migraines.

Symptoms of Migraine:

Do you know?

Migraine symptoms have 4 stages.

1- Prodrome: It is a warning of an upcoming warning, these symptoms occur some days or hours before the actual migraine pain. Symptoms you may feel are:

  • Retention of fluid
  • Stiffness of neck
  • Yawning frequently
  • Constipation
  • Changes in mood like euphoria, depression etc.
  • Frequent urination

2- Aura: These symptoms are for a shorter duration of time like for a few minutes to 60 minutes. These symptoms can occur during migraine attack or before the attack and are mostly related to vision.

These are as follows:

  • Loss of vision
  • Visualizing flashy, bright spots or light and different shapes.
  • Difficulty in speaking
  • A side of body gets numb
  • Sensations like needles or pins in legs or arms.

3- During Migraine Attack: Duration of migraine attack varies from person to person. But usually duration is of about 4 to 72 hours if it remains untreated.

During actual attack, you might suffer from the following symptoms:

  • Nausea
  • Vomiting
  • Throbbing pain
  • One sided pain on head or pain on both the sides

4- Postdrome: This is after the attack. You might feel as if you are exhausted, drained. This severe pain causes weakness and confusion.

Types of Migraine: Migraine occurs with two of its main types. These types are as follows:

1- Common Migraine

2- Classic Migraine

Common Migraine

Classic Migraine

Mostly occurring types of migraine.

Less commonly occurring type of migraine.

Palpitating pain on one side of head.

Before the attack of classic migraine, people may get an aura for about thirty minutes.

Intensity of the pain is moderate to severe but severe it becomes with even a normal physical activity.

Other symptoms of aura include blurring of vision, pins and needles.

Duration of headache is about 4 to 72 hours if you are not seeking any treatment.

Duration of symptoms is lesser than common migraine.


Other types are:

  • Menstrual Migraine: Women may experience this type of migraine, before, during or after the menstruation.
  • Abdominal Migraine: Symptoms of this migraine do not include headache, but vomiting and weakness. Mostly children suffer from this type of migraine.
  • Migraine Equivalent: This type of migraine occurs after 50 years of age. Headache is not a symptom of migraine equivalent.
  • Complicated Migraine: Once the headache is finished. Other symptoms start appearing or continue in this type of migraine. Like slurred speech, tingling feel, numbness, difficulty in moving leg or arm.

Management of Migraine Through Medicines:

Migraine can be managed by relieving symptoms.

Drugs for Preventing Migraine: First of all we really need to try to avoid or prevent migraine.


Classes of Medicines

Generic Names

Nonsteroidal Anti inflammatory Drug

Diclofenac, Ibuprofen, Naproxen Sodium etc.

Tricyclic Antidepressants


Serotonin and norepinephrine reuptake inhibitors

Venlafaxine, Duloxetine etc.

Calcitonin gene-related peptide inhibitors

Eptinezumab, Galcanezumab, Erenumab etc.


Valproate, Topiramate etc.

Botulinum toxin type A


Beta blockers

Atenolol, Propranolol, Metoprolol etc.


No medicine should be used without the advice of a doctor.

Drugs for Treating Headache:


Generic Names

Over the counter drugs

Ibuprofen, Acetaminophen, Naproxen etc.


Almotriptan, Zolmitriptan, Sumatriptan succinate etc.






Do not use any medicine without consulting doctors and pharmacists.

Drugs for the Treatment of Nausea:



Generic Names

Promethazine Hydrochloride









Some of the above medicines are available only in tablets, some in injections or tablets or suppositories. But some are available in all of the dosage forms. But the route of administration is defined by the condition of a patient according to doctors advice.

Do not use any medicine without consulting doctors or pharmacists.


Manage Migraine With Home Remedies:

Here are some home remedies that will surely help you to get rid of extreme symptoms of migraine.

1- Keep yourself hydrated as much as possible. Drinking adequate amounts of water can help in reducing headaches.

2- Smell or apply essential oils like Peppermint oil or Lavender oil. It soothes you and reduces pain.

3- Put ice bags on your head or neck to reduce the intensity of migraine pain and also can get relieved by soaking your hands in ice cold water.

4- Make ginger tea by boiling a piece of ginger in water. Drink this ginger tea to reduce inflammation and cure nausea, vomiting and headache. Ginger is a great antioxidant as well.

5- Eat food that is full of magnesium like eggs, almonds, peanut butter, sunflower seeds.


Management of Migraine is not as difficult as it seems to be, look at the information we have given you above and you will believe this. Exercise daily and also do some yoga to keep your mind and body at peace. First of all you should know about the disease you are suffering from. Then try to manage the disease through diet and a healthy routine. But when needed, take medicines as prescribed by the doctor. And do not miss any of your follow up check ups with your doctor. Successful management of chronic diseases can be possible by following a good diet, healthy routine and medicines prescribed by doctors.

Even when trying any home remedy, do consult your doctor and pharmacist.

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