Migraine

Introduction

Prescription/
OTC Remedies
Symptoms Herbal/Alternative Therapy
Causes References

By: Harley Hunner, Kerry McNierney, and Anthony Apodaca

Prescription  Remedies

Imigran-

First introduced about 10 years ago, Imigran is useful in treating acute migraines. Imigran is classified in the Triptan group of drugs, and has further been called a Sumatriptan. It is shown to be effective against migraines if administered in the early stages of one. If a triptan is given before Cutaneous allodynia sets in, more than 9 out of 10 migraines will be successfully stopped.

 

Other Triptans-

Some others include Almogram(almotriptan), Relpax(eletriptan), Migard(frovitriptan), Naramig(naratriptan), Maxalt(rizatriptan), and Zomig(zolmitriptan).

The differences between the effectiveness in the triptans was fairly small, but a couple did stand out. In studies, rizatriptan and eletriptan performed the best, with almotriptan after them. Almotriptan and naratriptan had the least side effects.

Two triptans that last for a long time are naratriptan(up to 5 hours) and frovitriptan(up to 25 hours).

Some people, however, do not respond to some triptans. 80% of patients who aren't responsive to sumatriptan respond to either zolmitriptan or rizatriptan, and other evidence shows eletriptan and naratriptan to be good in response for non-reactors of sumatriptan.

 

Over the Counter Remedies

Some Over-the-Counter medications for treating Migraines include aspirin, paracetamol and ibuprofen. These two have been shown to work individually and together. Aspirin at 1000 mg, paracetamol at 1000 mg or fast-acting 200 mg have been shown to relieve some pain in 50-60% of patients, although it is not shown to consistently block cutaneous allodynia, either partially or fully.  Exedrin is an effective OTC in combatting migraines, containing 500 mg paracetamol, 500 mg aspirin and a small ammount of caffeine.

 

Notice: Never use prescription, Over-the-counter, or herbal remedies without first consulting a physician.

 

Last updated July 19, 2004
For more information contact Dr. Mary O'Connell at moconnel@nmsu.edu