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I have had acute migraines for 15 years, with headaches occurring once a week, alternating sides.
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I have had acute migraines for 15 years, with headaches occurring once a week, alternating sides.
Asked by Male, 50 · 2 months ago
Your symptoms, particularly the extended history and side-shifting discomfort, are consistent with chronic migraine. Instead of just taking painkillers, you can benefit from preventive therapy (beta-blockers, antiepileptics, CGRP medications). See a neurologist and steer clear of triggers such as excessive screen time, stress, poor sleep, and fasting.
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Acute Treatment Options
- Use NSAIDs like ibuprofen or naproxen at the onset of a migraine.
- Triptans such as rizatriptan (Rizact) can be effective for severe attacks.
Preventive Treatments
- Consider beta-blockers (e.g., propranolol) or anticonvulsants (e.g., topiramate) to reduce frequency.
- CGRP inhibitors are newer options for prevention.
Lifestyle and Trigger Management
- Identify and avoid triggers like stress, certain foods, and sleep disturbances.
- Maintain regular sleep, hydration, and a balanced diet.
Non-Pharmacological Therapies
- Explore cognitive-behavioral therapy (CBT) and relaxation techniques.
- Consider physical therapies and acupuncture for additional relief.
Consultation and Monitoring
- Consult a neurologist for a tailored treatment plan.
- Keep a headache diary to track patterns and adjust treatments accordingly.
Answered 2 months ago