Medically Reviewed by Shruthi N, MD on April 02, 2025
What to Do if Migraine Acute Treatments Don't Work
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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
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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
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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
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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
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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
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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.

This content was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.