Prophylaxis
For migraine prophylaxis, i.e. medication to prevent migraine attacks or reduce the frequency of migraine, so-called beta blockers such as metoprolol and propranolol and calcium antagonists such as flunarizine are used. These drugs are usually taken daily for prophylaxis. As they belong to the group of high blood pressure medications, they have an antihypertensive effect as an effect or side effect.
Indications for migraine prophylaxis may be: Not scientifically proven, but under subjective positive observation, acupuncture is particularly effective in the acute phase, but also as prophylaxis after several sessions. The correct choice of acupuncture points during the acute and prophylactic phase is important. Furthermore, endurance sports such as jogging and cycling have been shown in studies to be beneficial for development.
In particular, jogging with a medium pulse rate is said to have a positive effect on symptom-free intervals. In general, it is important to know possible triggers for migraine attacks in order to be able to counteract them in time. Keeping a headache diary is very well suited for this purpose. This records the time, severity, duration and the circumstances surrounding the migraine headache.
- >3 seizures per month
- Multiple status migränosus (see above)
- Strong subjective impairment of the quality of life
- Neurological disorders caused by migraine (see above)
Which doctor treats migraine?
Who should initiate a migraine therapy?Since migraine is a neurological disease, the neurologist is the right contact person for you. Alternatively, pain therapists can also treat migraines.