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Migraine treatments MIGRAINE TREATMENTS
Careful attention to diet and the exclusion of any food that is a known trigger of the migraine episodes should be of primary concern. Common triggers include alcohol (particularly red wine and champagne), cheese, citrus fruits, aged and spicy meats and hot breads. However, in many cases no dietary trigger will be found.
Obvious stressors should also be avoided where possible or if they can't be avoided, dealt with.
The most effective and safe medication for the treatment of migraine is aspirin. Taking up to 2-3 at a time may prevent an episode of migraine from becoming severe enough to be incapacitating. Aspirin is particularly effective especially if some of the other preventive treatments are being used.
Paracetamol in the form of Panadol or Dymadon is less effective but may have some value in those who cannot tolerate aspirin due to allergy or gastric side-effects such as ulcers.
These headaches are commonly treated with anti-migraine preparations which in themselves are potentially harmful as they can cause vascular changes and/or dependence. They may also cause 'rebound headaches' in patients who take them for too long and in greater than prescribed amounts.
These preparations are commonly known as ergotamine medications — named after ergot, the poison which was the cause of St Anthony's Fire which lead to convulsions and skin inflammation when contaminated bread was eaten. This disease was named after Saint Anthony, the English Saint of those afflicted with skin disease.
These include the prescription drugs Migral and Cafergot. They are available as preparations to be taken by mouth, by injection and in suppository form.
Non medication treatments for migraines include acupuncture, both with needles and with laser stimulation, and relaxation training. Quite often, the best form of treatment for such headaches is a combination of medication and some relaxation therapy.
Imagery based techniques using hypnosis and relaxation can be useful to both prevent and decrease the severity of the migraine attacks.
For some, control over the opening and closing of the blood vessels implicated in the migraine attack can be gained by the use of bio-feedback aided relaxation training where the skin temperature or muscle tension can be used to aid in giving the sufferer a greater degree of control.
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