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  • Writer's pictureDr. Thomas Politzer

The Headache from Hell


Migraine, more than a headache

Like many of you I am a migraine patient. I also see many patients who have migraines. Our brains are more sensitive to various triggers that can set it off. Here are some interesting things about migraine.

Migraine is the third most common disease in the world with an estimated prevalence of about 1 in 7 people. Migraine is more prevalent than diabetes, epilepsy and asthma combined.

Migraine is diagnosed as an unprovoked headache lasting from hours to days and is accompanied by nausea, or light and/or sound sensitivity. It typically starts on only one side of the head. It is not always intense or disabling and some attacks may involve no headache whatsoever (aura without headache).

Today there are many treatments available. Some of the more common ones include: preventive medications such as Topiramate, Beta or Calcium channel blocker medication, Amitriptyline or Nortriptyline, calcitonin gene-related peptide (CGRP) antibody medications, and Botox. The supplements magnesium, vitamin D and Riboflavin are often helpful.

There are many abortive medications to stop a headache. These include: OTC NSAID pain medications, Triptans, Migranal and Cambia.

I am working with my neurology and ENT colleagues on an eye drop for prevention. Stay tuned!

I work with headache neurology specialists. I you are suffering, PM me and I can give you a referral.

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