Migraine Management Remains Elusive
Lipton says that current preventive drugs can decrease headache frequency by half. But fewer than a million take these medications, he notes. With medications, Lipton says, "For between 50% to 80% of attacks, people go from moderate or severe pain to having mild pain or no pain within a couple of hours."
Silberstein recommends that women with migraines who are taking birth control pills take their pills constantly for three to four months. That will keep their estrogen levels high, since low levels of the hormone may trigger attacks.
The American Academy of Neurology and other medical groups have developed new drug treatment guidelines that are available online at www.aan.com
Fischbach says that many doctors may not focus enough on migraines. He notes, "Patients have to get the attention of busy doctors to sit down and listen." This article and all articles on WebMD have been medically reviewed.