2024年10月22日星期二

Medications for Migraine Relief_ A Comprehensive Overview


Medications for Migraine Relief: A Comprehensive Overview

Migraine treatment typically involves two main categories of medications: acute treatments to stop attacks in progress and preventive treatments to reduce frequency and severity. Here's a breakdown of the most common and effective migraine medications:

Acute Treatments:



Over-the-counter pain relievers:


Nonsteroidal anti-inflammatory drugs (NSAIDs): ibuprofen, naproxen, aspirin

Acetaminophen (Tylenol)




Triptans:


Sumatriptan (Imitrex)

Rizatriptan (Maxalt)

Zolmitriptan (Zomig)

Eletriptan (Relpax)

Almotriptan (Axert)

Frovatriptan (Frova)

Naratriptan (Amerge)




Ergotamines:


Dihydroergotamine (DHE)

Ergotamine with caffeine (Cafergot)




Gepants:


Ubrogepant (Ubrelvy)

Rimegepant (Nurtec ODT)




Ditans:


Lasmiditan (Reyvow)




Anti-nausea medications:


Metoclopramide (Reglan)

Ondansetron (Zofran)




Preventive Treatments:



Beta-blockers:


Propranolol

Metoprolol

Timolol




Antidepressants:


Amitriptyline

Venlafaxine




Anticonvulsants:


Topiramate (Topamax)

Valproic acid (Depakene)




Calcitonin gene-related peptide (CGRP) monoclonal antibodies:


Erenumab (Aimovig)

Fremanezumab (Ajovy)

Galcanezumab (Emgality)

Eptinezumab (Vyepti)




Botulinum toxin (Botox) injections (for chronic migraine)



Angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs):


Lisinopril

Candesartan




The choice of medication depends on various factors, including the frequency and severity of migraines, individual medical history, and potential side effects. It's crucial to work with a healthcare provider to determine the most appropriate treatment plan, as some medications may interact with other drugs or have contraindications for certain medical conditions.

Remember, effective migraine management often involves a combination of medication, lifestyle changes, and identifying and avoiding triggers. Some patients may need to try several different medications or combinations before finding the most effective treatment for their specific situation. 

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