• green sign with preventive medication for migraine spelled out in white and blue tablets
    Migraine Treatment

    Your Practical Guide to Migraine Preventive Medications

    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 (but not always) 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,…

  • brown bags with red cross on them used for at home migraine treatment plan
    Migraine Treatment

    How To Assemble An At Home Migraine Treatment Plan

    Ever have a migraine attack bearing down and you blank on what to reach for to treat the attack? The misery and neurological changes that come with migraine attacks have the ability to wipe out thoughts of basic reliefs we know can help. This happens to me all the time and I end up relying on my Migraine Strong partners, Danielle Aberman and Jennifer Bragdon, to help remind me of things I can try. Having an at home migraine treatment plan in place helps me when my people aren't available to make suggestions. So what can we do to make sure we have our ducks in a row BEFORE we have…

  • Checklist for migraine and medications
    Medication

    Practical Things You Must Know About Migraine and Medications

    For as long as I can remember, I have considered myself a headachy person. At some point the headaches progressed to migraine. Fortunately, for most of my life I had infrequent episodic migraine (EM). An attack would start, I’d treat it with ibuprofen and I was better in an hour. I sought treatment when I began losing a few days per month to terrible attacks that didn’t respond to over-the-counter (OTC) remedies. Over time, my frequency of attacks increased and I “chronified” while under the care of my well-intentioned primary care physicians. 

  • Too many medications used to treat migraine can can lead to rebound headaches
    Migraine Treatment

    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…

  • Migraine Treatment

    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) Fioricet (combination of butalbital, acetaminophen and caffeine) and Fiorinal (combination of butalbital, aspirin and caffeine) 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?…

  • 6 Steps To Escape Rebound Headaches #MedicationOveruse #Migraine
    Migraine Treatment

    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…