Headache & Migraine Q & A
WebMD Live Events Transcript
In recognition of National Headache Awareness Week 2004, WebMD Live held this question and answer session with Merle Diamond, MD, associate director of the Diamond Headache Clinic. From tension headache to migraines, we looked at pain prevention and treatment tips you need to clear your head.
The opinions expressed herein are the guests' alone and have not been reviewed by a WebMD physician. If you have questions about your health, you should consult your personal physician. This event is meant for informational purposes only.
Normally we start at 40 milligrams and drop the dose by 5 milligrams every five days. Other medications that can be used preventatively include Topomax, Depakote, Verapamil, Methergine, Sinequan, and lithium. Some people have found even melatonin can be helpful.
The first is the way you might use your Imitrex. If you're on tablets and you wake up with frequent migraines then injection will speed relief, as it will work more quickly.
The second approach involves recognizing symptoms we call prodrome. About 60% of migraine patients have symptoms that precede their migraine attacks from three to six hours, and are generally reproducible, or they can predict them because they've had had a history of migraines for so long. These symptoms include:
Tracking this could be done with a headache diary, and if you recognize a prodrome, treating before you went to bed that night might be helpful.
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