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What medications are used to treat menstrual migraines?

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Naproxen and the triptans most often used to treat menstrual migraines may also help prevent them. If you don’t respond to other treatments and you have 4 or more migraine days a month, your doctor may suggest preventive medicines. You can take these regularly to reduce the severity or frequency of the headaches. These could include seizure medicines, blood pressure medicines (like beta blockers and  channel blockers), and some . CGRP inhibitors are a new class of preventive medicine that your doctor may recommend if other medicines don’t help. calciumantidepressants

Nonmedical options include the supplement certified PA-free butterbur, magnesium, and even acupuncture. Check with your doctor before using any supplements as they are not regulated like prescription medicines and they may contain substances that are not safe.

It's also a good idea to limit how much salt you eat before your period starts so your body doesn't hang on to water in your tissues, which could create extra pressure. Your doctor can prescribe "water pills" (diuretics) to help you pee out extra fluid and bring down swelling if it's a problem.

If nothing else works, leuprolide acetate (Eligard, Lupron) drops estrogen levels --  but there can be unpleasant side effects.

From: Migraine and Hormones in Women WebMD Medical Reference

American Headache Society: "Menstrual Migraine: New Approaches to Diagnosis and Treatment."   

Cleveland Clinic: "Hormone Headaches Menstrual Migraines."   

UpToDate: "Estrogen-associated migraine."   

Migraine Trust: "Menstrual migraine."   

Mayo Clinic: "Chronic daily headaches."   

Medscape: "Oral Contraceptives in Migraine."   

Hu, Y.  , Jan 30, 2013.    The Journal of Headache and Pain

UpToDate: Preventive treatment of migraine in adults.”   

American Headache Society: “Menstrual Migraine.”   

Harvard University Graduate School of Arts and Sciences: “Taming The Cycle: How Does the Pill Work?”   

Journal of Headache Pain: “Migraine in women: the role of hormones and their impact on vascular diseases.”

Reviewed by Lawrence C. Newman on January 09, 2019

American Headache Society: "Menstrual Migraine: New Approaches to Diagnosis and Treatment."   

Cleveland Clinic: "Hormone Headaches Menstrual Migraines."   

UpToDate: "Estrogen-associated migraine."   

Migraine Trust: "Menstrual migraine."   

Mayo Clinic: "Chronic daily headaches."   

Medscape: "Oral Contraceptives in Migraine."   

Hu, Y.  , Jan 30, 2013.    The Journal of Headache and Pain

UpToDate: Preventive treatment of migraine in adults.”   

American Headache Society: “Menstrual Migraine.”   

Harvard University Graduate School of Arts and Sciences: “Taming The Cycle: How Does the Pill Work?”   

Journal of Headache Pain: “Migraine in women: the role of hormones and their impact on vascular diseases.”

Reviewed by Lawrence C. Newman on January 09, 2019

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