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What to Do if Migraine Acute Treatments Don't Work


What to Do if Migraine Acute Treatments Don't Work
If acute migraine treatments aren't working, the first step is to confirm that your headaches are truly migraines. Other conditions, such as tension headaches or cluster headaches, may require a different approach. Consulting a headache specialist can help ensure the correct diagnosis and guide your treatment.

Adjust Your Medication Plan
Sometimes, the problem isn't the medication itself, but how it's being used. Taking acute treatments too late or in insufficient doses can affect how well they work. Overusing medications can lead to rebound headaches, a condition where treatments make headaches worse over time, so follow your doctor's instructions carefully.

Explore Preventive Treatments
When acute medications fail, preventive treatments can make a big difference. These include prescription options such as beta-blockers, anticonvulsants, antidepressants, and calcitonin gene-related peptide (CGRP) blockers.

Consider Non-Medication Therapies
Alternative options, such as cognitive behavioral therapy (CBT), acupuncture, or dietary changes, might support your treatment plan. Managing triggers through lifestyle adjustments and reducing stress can also help.

Explore Advanced Options
For those with chronic, difficult-to-treat migraines, advanced methods, such as neuromodulation devices or Botox injections, may offer relief. Work with a specialist to explore these options if standard treatments haven't worked.

Stay Persistent and Seek Support
Managing migraines when acute treatments fall short can be challenging, but persistence is key. Consult with your health care provider regularly, and consider joining a migraine support group to share experiences and find support from others who understand what you're going through.
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SOURCES:
American Migraine Foundation: "What to Do When Migraine Treatment Fails?," "Botox for Migraine," "Mythbusters: Migraine Remedies," "What to Know About the New Anti-CGRP Migraine Treatment Options," "Neuromodulation for Migraine Treatment: An Overview," "Oral and Intranasal Triptans for Migraine," "Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) for Acute Migraine Treatment.”
Mayo Clinic: "Migraines: Simple Steps to Head Off the Pain," "Dihydroergotamine (Nasal Route)," "Headache Medicine Ergot-Derivative-Containing (Oral Route, Parenteral Route, Rectal Route)."
American Headache Society: "What to Do When Migraine Treatment Fails."
Choosing Wisely Canada: "Treating Frequent Headaches With Pain Relievers: Don't Take Them Too Often."
American Family Physician: "Acute migraine Headache: treatment strategies."
Shiatsu Toronto: "Shiatsu Self-Massage for Headaches."
Harvard Medical School: "Lasmiditan: New First-in-Class Drug Treatment Approved for Migraine."
The Journal of Headache and Pain: "Lasmiditan mechanism of action: review of a selective 5HT-1F agonist."
Innovations in Clinical Neuroscience: "CGRP inhibitors for migraine."
Cleveland Clinic: "Chronic Migraine," "NSAIDs (Nonsteroidal Anti-Inflammatory Drugs)."
American Journal of Managed Care: "New CGRP monoclonal antibodies for preventive care."