1. Is there a specific drug for migraine treatment?
There are specific anti-migraine medications, such as treprostin drugs. Not all patients can benefit from specific drugs because each drug is different for different individual patients. If one drug does not work, you can switch to another drug, which can be taken before the migraine attack to suppress the headache attack. Specialty drugs also vary from person to person.
2. Can frequent attacks of long-term migraine cause stroke?
The relationship between migraine and stroke is still controversial in academic circles. For common type of migraine, there is no increased risk of stroke, but for migraine with frequent attacks of visual aura, the risk of stroke will increase by 1.91 times.
3. Can migraine be passed on to the next generation?
If parents have migraine, the conceptual event of their children having migraine will be greatly increased, but they will not necessarily suffer from migraine. More than 70% of migraineurs have a positive family history, and the risk of migraine in children with migraine with aura is 4 times higher than in the general population, while for migraine without aura, the risk is about 2 times higher. Therefore, there can be multiple migraineurs in a family, and asking for a family history is an important reference for migraine diagnosis.
4. Migraine is very severe, but why can’t the MRI scan of the head find any lesions?
The diagnosis of migraine mainly relies on medical history, and MRI examination can mainly exclude intracranial hemorrhage, infarction, tumor and other lesions. Migraine is mainly a functional disorder, and there is no equipment or method that can directly check and confirm the diagnosis.
5. Will migraine attacks eventually become chronic headaches?
It is more common that frequent migraine attacks are not well controlled, or that migraine attacks become more frequent due to work, life, medicine and social reasons, and eventually become chronic migraine. On the contrary, if migraine can be treated actively and effectively, migraine will not only not become chronic headache, but will also reduce the number of attacks, or even not have attacks for a long time.
6.Is there any good treatment for migraine with frequent attacks?
Generally speaking, there are four types of migraine patients: 1) the quality of life, work and life are seriously affected; 2) the attacks are frequent, more than or equal to 2 times a month; 3) medication is ineffective during the acute migraine attacks; 4) there are frequent, prolonged or uncomfortable migraine attacks. Migraine aura, we should actively carry out preventive treatment of migraine instead of taking pain medication when headache attacks occur, and the specific treatment method varies from person to person.
7. Can migraine be completely cured?
At present, the pathogenesis of migraine has not been fully elucidated, and a complete cure for migraine is still a myth. However, just like the treatment of hypertension and diabetes, migraine can be completely controlled. The key is to face migraine properly and actively carry out therapeutic interventions.
8.What are the sites of migraine attacks?
In fact, only about 60% of patients have migraines. Some patients may have alternating headaches on both sides of the head, or headaches that start on one side and then move to the other side. It can also be a unilateral headache that progresses to a full headache. About 40% of patients have bilateral headache at the beginning of the disease.
9. Can painkillers be addictive? Beware of drug overuse headaches.
Some painkillers are addictive, such as tramadol, but they are rarely used clinically due to restrictions. However, the use of single analgesic preparations should be limited to no more than 15 days per month, and the use of combined analgesics should be limited to no more than 10 days per month, as excessive application may easily lead to drug overuse headache.
10.Does the drug have side effects and it will pass if you tolerate it?
Nowadays, the drugs are constantly changing and the side effects are very small, so there is no need to worry. If you have already experienced migraine attacks, although sometimes the headache is not very intense, my advice is not to tolerate the pain, but to take the medication before the headache attacks, rather than when the headache is severe.
11. How can migraine be prevented?
Migraine attacks are triggered by many things, such as diet, flashing lights, smells, lack of sleep, some medications, etc. Staying away from these triggers is very important for migraine control. In fact, prevention is better than cure.