Migraine Treatment: Effective Medications for Managing and Preventing Attacks

Migraine is not just a headache, but a serious neurological disorder accompanied by intense throbbing pain, nausea, photophobia, and reduced productivity. For some patients, migraine attacks can last from several hours to several days, significantly affecting their quality of life. Fortunately, modern medicine offers effective treatments for migraine and prevention of attacks.

🔹 Main Directions of Medicinal Treatment for Migraine
Migraine treatment includes two key strategies:

Acute attack management

Prevention of recurrences

✅ Medications for Managing Migraine Attacks
The goal is to quickly relieve pain and other symptoms (nausea, sensitivity to light and sound).

1. Analgesics and NSAIDs
Paracetamol

Ibuprofen

Naproxen

Acetylsalicylic acid
Effective for mild to moderate migraine attacks.

2. Triptans (specific migraine therapy)
Sumatriptan

Zolmitriptan

Eletriptan

Rizatriptan
Triptans act on serotonin receptors, constrict dilated brain vessels, and block pain signals. They are the most effective drugs for relieving severe migraines.

3. Ergotamines
Dihydroergotamine
Used less frequently due to a higher incidence of side effects. Prescribed strictly according to indications.

4. Antiemetic Drugs
Domperidone

Metoclopramide
Help eliminate nausea and improve the absorption of painkillers.

✅ Medications for Migraine Prevention
Prescribed for frequent, severe, or hard-to-manage attacks, as well as if migraines significantly reduce quality of life.

1. Beta-blockers
Propranolol

Metoprolol
Reduce the excitability of the vascular system and decrease the frequency of attacks.

2. Antidepressants
Amitriptyline

Venlafaxine
Help with migraines accompanied by anxiety, insomnia, depression.

3. Antiepileptic Drugs
Topiramate

Valproic acid
Stabilize the brain's electrical activity.

4. Botulinum Therapy
Used in patients with chronic migraine (more than 15 headache days per month). Botulinum toxin injections relieve muscle tension and reduce pain impulses.

5. CGRP Receptor Antibodies (Monoclonal Antibodies)
Erenumab, fremanezumab, galcanezumab
A new direction in migraine prevention. High efficacy, minimal side effects, but high cost.

⚠️ Important
Migraine is an individual condition. What is effective for one patient may not be suitable for another. Therefore, medication prescriptions should always be based on consultation with a neurologist and individual diagnosis.

At the "Genesis" clinic, we select the optimal migraine treatment plan based on modern international recommendations, combining medication therapy with physiotherapy, lifestyle adjustments, and psycho-emotional support.

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