Migraines can be challenging to manage, especially when they persist despite multiple consultations, but there are several approaches that might help improve your wife's condition.

🏥 Lifestyle Modifications + Avoiding Triggers

• Encourage maintaining a regular sleep schedule, balanced meals, and hydration.
• Identify and avoid common migraine triggers such as stress, certain foods (e.g., caffeine, chocolate), bright lights, and strong smells.
• Keeping a headache diary can help track patterns and triggers.

💊 Medications

• Preventive medications like beta-blockers (e.g., Topirol, which contains metoprolol), certain antidepressants, or anticonvulsants may reduce migraine frequency.
• Acute treatments include NSAIDs (non-steroidal anti-inflammatory drugs) or triptans to relieve symptoms during attacks.
• Medication should be managed by a neurologist to tailor the best regimen and avoid overuse.

🏥 Non-Pharmacological Therapies

• Techniques such as biofeedback, cognitive-behavioral therapy, relaxation exercises, and acupuncture have shown benefit in some patients.
• These can complement medication and lifestyle changes to reduce migraine impact.

🩺 When to See a Specialist

• A neurologist or headache specialist should be consulted for persistent migraines unresponsive to initial treatments.
• They can offer advanced therapies, including newer medications or procedures.

⚠️ Red Flags

• Seek urgent care if migraines are accompanied by sudden severe headache, neurological symptoms (weakness, vision changes, confusion), or if headaches worsen rapidly.

Consulting a neurologist is strongly recommended to review her treatment plan and explore tailored options. If you want, I can explain any of these approaches in more detail.