Frequently Asked Questions

What are the symptoms of a migraine?

The pain is felt on just one side of the head and is often severe or extreme

Aura (visual disturbances such as flashing lights, zigzagging lines, numbness, paralysis) experienced twenty to  sixty minutes before onset of head pain

Inability to continue with your daily activities

Nausea and/or vomiting

Sensitivity to light and noise

What foods are known triggers of migraines?

Alcohol – beer, scotch, or bourbon, especially dark drinks like rum, red wine

Caffeine – found in coffee, tea, and sodas

Citrus fruits, dried fruits, bananas, and avocados

Dairy products, aged cheeses, etc.

Tyramine – found in fresh breads

Aspartame – an artificial sweetener known by its brand name ‘NutraSweet’

Monosodium glutamate (MSG) – found in processed meat and Chinese food

What are some non-food triggers of migraines?

Stress is a major contributor to migraine headaches

Nicotine, whether ingested through cigars, cigarettes or chewing tobacco

Motion sickness caused by air travel or car trips can trigger a migraine

Fatigue as well as changes in sleep patterns. In addition, either too much sleep or too little sleep can trigger headaches

Birth control pills can trigger migraines in some women

Hormonal changes at the time of ovulation or at the start of the menstrual cycle can trigger migraines for many women

Fasting or missing a meal can trigger a migraine because of low blood sugar

Changes in the weather or altitude can trigger a migraine headache

When I should think about seeing a doctor about my migraine headaches?

If the headache occurs suddenly and can be described as severe

Any headache that results in a period of confusion or a loss of consciousness should result in immediate medical attention

If the headache impairs your ability to function in a normal manner at work, home or during social functions

If the headache is accompanied by nausea, vomiting, visual disturbances including hallucinations, or sensitivity to light and sound

If the pain is felt on just one side of the head

When the headache is accompanied by pain in the eye or behind the ear

If the headache bares any similarity to headaches that other members of your family suffer

When the headache results in numbness, paralysis or weakness in the legs and arms

If the headache has a definite pattern to it; for instance, a pattern in which the time of the day it occurs, the circumstances under which it occurs or the length of time you experience the pain is similar

If the headache becomes persistent, especially if you have not been a headache sufferer up to this point

What’s the first thing I should when a migraine hits?

Take medicine as directed by your health care provider

Turn off the lights, close the shades, draw the curtains and lie down on a comfortable bed

Apply an ice pack to the area of pain

What’s the best medication for a migraine?

There are a multitude of drugs on the market with the potential to help in the prevention of migraine headaches. The following list contains those drugs that have been shown to work best:

Beta-blockers such as propranolol (Inderal) and nadolol (Corgard) have been shown to be relatively safe and effective. Metoprolol (Lopressor) and atenolol (Tenormin) are alternative drugs in the same class

Anticonvulsants have been used in the treatment of migraines. Valproate (Depakote and other brand names) tops the list in terms of research backing up its effectiveness, but babapentin (Neurontin) and topiramate (Topamax) are also considered effective

Tricyclic antidepressants can be quite effective, but come with the price of side effects that include sedation, blurred vision, dry mouth and constipation. The best choice here is typically thought to be amitriptyline (Elavil), though many other sufferers swear by nortriptyline (Norpramin).

Serotonin antagonists such as methysergide (Sansert) have proven a solid treatment for many, but come with potentially serious side effects

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