• Chronic Migraine,  Episodic Migraine,  Medication,  Rebound

    Prednisone for Migraine Explained – 5 Questions & Answers You Need to Know.

    A steroid taper is commonly prescribed by headache specialists in certain circumstances to break a prolonged migraine cycle.  Are you wondering if a course of prednisone for migraine is something you should ask your doctor about? This is written from the patient and patient-advocate perspective and is not medical advice.  The goal is to help inform you so that you may work with your doctors.  Specific questions about medications and whether they are right for you can only be addressed by your doctors. 1.  What is Prednisone? Prednisone is a medication in a group of drugs called corticosteroids or steroids, for short.  Prescribed steroids are man-made medications that are similar…

  • several migraine preventive medications on a white surface
    Chronic Migraine,  Episodic Migraine,  Medication,  Migraine,  Vestibular Migraine

    Migraine Preventive Medications: Comprehensive Guide

    While over 1 billion people world wide have migraine, only a small percentage of them use migraine preventive medications to control their migraine attacks. A migraine preventive medication is considered and offered when people with migraine meet certain criteria: Four or more attacks per month or eight head pain days – Can include severe throbbing pain or a pulsing sensation, usually on one side of the head. It is often accompanied by nausea, vomiting, and sensitivity to light and sound. Migraine attacks typically last for 4-72 hours, and the pain can be so severe that it interferes with daily activities. Vestibular migraine attacks might not have head pain, but will include…

  • Chronic Migraine,  Episodic Migraine,  Hormones,  Medication,  Menopause,  Migraine,  Science/Research

    What No One Tells You about Migraines and Menopause (and Perimenopause Too)

    I have always been a headachy person.  Fortunately, migraine didn’t interfere with my life in a debilitating way until my 40s.  Perimenopause was the culprit.  Having gone through perimenopause with migraine does not make me an expert.  It’s one of my areas of interest as a patient and patient advocate.  I have poured over the literature on migraine and migraines as well as watched in-depth interviews of 4 well-recognized experts in this area that were interviewed during the five Migraine World Summit broadcasts.  Their intention was to help during a difficult, undiscussed time and that is my intention, too. My Story I hit the big menopause milestone 6 years ago. …

  • multi colored pills for a migraine cocktail
    Chronic Migraine,  Episodic Migraine,  Medication,  Migraine,  Science/Research,  Vestibular Migraine

    Migraine Cocktail: A Comprehensive Guide

    According to the Migraine Research Foundation (MRF), migraine affects one billion people across the globe, 39 million in the United States alone, and it’s the 6th most disabling illness in the world. Finding an effective migraine cocktail is one of the single most important things that anyone with migraine can hope to find.  Everyday we have conversations about acute medications in the Migraine Strong Facebook group. Which ones work best, what can be combined together and just how many triptans are there on the market? I hope having all of this information in one place will be helpful for anyone treating migraine or trying to put together an effective migraine…

  • Charleston,  Diet,  Episodic Migraine,  Heal Your Headache,  Medication,  Migraine,  Rebound,  Sleep,  Supplements,  The Bucket Theory

    Minimizing Migraine Attacks: What I wish I knew…

    There is so much I wish I knew about minimizing migraine when my frequency of attacks was ramping up a few years ago.  I would have avoided chonifying and been so much healthier had this blog site been available to me just a few years ago. I know you don’t feel lucky to ONLY have episodic migraine, but count your lucky stars that you haven’t “chronified.”  Social media, has changed the way people educate and help themselves today. You have so many more resources to help you get better. I assume you have episodic migraine that is worsening and you are here trying to figure out what to do to…

  • Sunglasses with light and sound sensitivity to manage
    Anxiety,  Medication,  Migraine

    How to Manage Light and Sound Sensitivity with Migraine

    Light and sound sensitivity with migraine have plagued me for years and I have had to learn to manage both conditions during attacks and in between. This is not an uncommon problem to have. While approximately 85% of people with migraine report sensitivity to light during an attack and about 80% sensitivity to sound (Harriet & Schedt, 2014), almost the same percentages report the same sensitivities in between attacks. The migraine population is coping with migraine symptoms, sometimes on a daily basis. Managing At Home To manage light and sound sensitivity during a migraine attack at home is fairly straightforward. I will typically take my migraine cocktail. A triptan would…

  • Too many medications used to treat migraine can can lead to rebound headaches
    Medication,  Migraine,  Rebound

    The Vicious Cycle of Rebound

    What is rebound? And how do you tell the difference between rebound or frequent/chronic migraine?  The more commonly used term in the medical community is medication-overuse headache (MOH).  We call it ‘rebound’ as MOH tends to imply patients are to blame for their pain. Rebound happens when prescribed and/or over-the-counter (OTC) meds used to relieve pain, begin to cause pain or “stop working.” Initially, I didn’t know about rebound. And besides, I couldn’t possibly have rebound from medications prescribed by my doctor. Ha! My triptan (sumatriptan) had worked beautifully for many years…until it didn’t.  Maybe I just needed a bigger dose? Perhaps I could take it with ibuprofen or another NSAID (non steroidal…

  • 20 Questions to Ask Your Headache Specialist #migraine #headache
    Medication,  Migraine,  The Treatment Pie

    20 Questions to Ask Your Specialist

    When we finally get an appointment to see a headache specialist or a neurologist, it is important to be as prepared as possible. We may have had to wait months for this appointment. Using that time to gather the necessary information to make the appointment as productive as possible is essential. Make sure that you know your migraine and your history well enough to communicate the information to the doctor. While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor. Use a headache diary I like Migraine Buddy because it…

  • Medication,  Migraine,  Rebound

    Rebound FAQ’s

    While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. We are patient educators and all information you read should be discussed with your doctor. What prescribed meds contribute to rebound? Simple analgesics – Prescribed NSAIDs (i.e. indomethacin, naproxen) Combination pain relievers (i.e. Fioricet) Triptans (i.e. sumatriptan, rizatriptan) and ergotamine medications (i.e. DHE) Opioids (i.e. tramadol, hydrocodone, codeine, oxycodone) What over-the-counter meds cause rebound? Simple analgesics – NSAIDs (i.e ibuprofen, naproxen) acetaminophen, aspirin Combination pain relievers (i.e. Excedrin Migraine, Excedrin, Goody’s Headache Powder) Does Aleve cause rebound? How about Tylenol? Yes, for both medications.  They are simple analgesics. Why would my doctor prescribe meds that…

  • 6 Steps To Escape Rebound Headaches #MedicationOveruse #Migraine
    Medication,  Migraine,  Rebound

    6 Steps To Escape Rebound Headaches

    If you are reading this, you suspect or know that you are in rebound and are considering what it might take to escape rebound headaches. I’m not going to sugar-coat it. The process is miserable. If you are in rebound, many attempted treatments may not work to get migraine under control. So, educate yourself about what to expect and how to optimize the process so you can get prepared and find your motivation. You are not alone in this. Many of us have been in a terrible rebound cycle at least once. The good news is that there is a good chance you will go back to your baseline, episodic frequency once you are ‘on the…