Gabapentin for Migraine Prevention

Gabapentin is a drug that is approved to treat seizures in people with epilepsy. It is also approved to treat nerve pain from shingles, which is a painful rash caused by herpes zoster infection. It’s used off-label for migraine prevention.

Gabapentin belongs to a class of drugs called anticonvulsants. A class of drugs is a group of medications that work in a similar way. Anticonvulsants help calm nerve impulses. It is believed that this action can help prevent migraine pain.

This drug comes as a capsule, tablet, or solution. You take it by mouth. Gabapentin is available as the brand-name drugs Neurontin, Gralise, and Horizant. It’s also available as a generic drug.

What is migraine?

A migraine is not just a headache. Migraines are usually more severe and last longer than headaches. Migraines can last as long as 72 hours. The major symptom of a migraine is pain that you usually feel on one side of your head. This pain is typically moderate or severe. Migraines also include other symptoms, such as nausea, vomiting, and severe sensitivity to light and sound.

About 20% of people who have migraines experience an aura before the pain begins. An aura is a group of symptoms. You could have some or all of the following symptoms during a migraine aura:

  • Changes in your vision, such as seeing squiggly lines or having short-term, partial vision loss
  • Difficulty talking
  • Tingling or numbness of any part of your body

Migraine triggers

It is not known exactly why people have migraines. However, some people can track their migraine back to a certain trigger. Migraine triggers can include stress, lack of sleep, certain foods, and even hormone changes during a menstrual cycle.

Migraine prevention

Some people can prevent migraines by avoiding triggers. Others have prevented migraines successfully through relaxation techniques, acupuncture, or exercise. However, these therapies alone don’t work for everyone. Some people also need treatment with medication to reduce the number of migraines they have. The drugs used to prevent migraines are different from drugs that to treat migraines once a migraine starts. Drugs that prevent migraines, such as gabapentin, must be taken daily.

International and domestic studies that have evaluated Neurontin for migraine prevention suggest that it is effective. In a study of 63 patients with migraine (with or without aura), gabapentin significantly reduced migraine frequency and intensity among 30 patients who received it. In this study, adverse events were mild to moderate in severity.

Similarly, in a large study, 143 people with migraine received daily doses of Neurontin or placebo for 12 weeks. At the end of 12 weeks, the migraine rate had declined from 4.2 migraines before treatment to 2.7 migraines after treatment in those who received this drug.

This decrease was significantly greater than the decrease from 4.1 migraines to 3.5 migraines among those who received placebo. Of the 56 gabapentin recipients, 46% had at least a 50% reduction in the four-week migraine rate. Drug-related adverse events (sleepiness and dizziness) led to drug withdrawal in 13% of patients in the gabapentin group compared with 7% in the placebo group. The researchers concluded that this medication is an effective and well-tolerated preventive for migraine.

 

Migraine Headaches Relief

Not Every Migraine Headaches Relief Treatment Is The Same

If you’re considering treatment for migraine headaches relief, you should know there are a wide range of options available to you.

For the record, I’m no stranger to every sort of migraine headache treatment that’s out there. Some have worked fairly well, and other just FAILED MISERABLY.

So , with that said, I’ll try to wrap up neatly what I have learned over the course of my 10 year quest for migraine headaches relief.

The Drawbacks – Common Mistakes in Treatment For Migraine Headaches Relief

1) The Only Solution For Migraine Headaches Relief is Medication

If we become ill, we visit a doctor. The doctor prescribes medicine.

If this is the kind of mindset you have, then your solution for migraine headaches relief will be medication.

This solution will lead to 3 results:

Your current migraine headache will be immediately relieved

A disastrous cycle of headaches will rebound that will seem almost impossible to escape

You will end up frustrated with all medications for migraine headaches relief

2) Inability To Identify Triggers

Any good treatment for migraine headaches relief SHOULD begin with identifying your personal migraine triggers. But , in my experience, not one doctor I have ever consulted put the first emphasis on identifying my personal triggers.

And, in all of my years of experience, I have found this to be the ONLY effective migraine headaches relief CURE. Instead, each and every doctor gave me a prescription for one medication or another – many prescribing 2 or more drugs at the same time.

Over the course of 10 years, this has been the automatic treatment for migraine headaches relief from EVERY doctor I visited.

The FIRST step in any treatment for migraine headaches relief must be identifying and eliminating ALL of your personal triggers. This will benefit you much more than any medication EVER will.

3) Afraid of All Medications

If the alternative is blindly taking every medication prescribed, it’s better to avoid all medications.

But… an effective treatment for migraine headaches relief will include the occasional use of abortive migraine medication. Zomig, Axert, Imitrex are a few examples. In addition , Aleve will be periodically advised to give the Triptan, or abortive medication, an effective boost.

But if you are already following a treatment for migraine headaches relief that includes NO medication, this is much preferred than following a treatment with LOADS of migraine medication.

Not Questioning Your Treatment For Migraine Headaches Relief

We’re raised not to question doctors. It’s a rare doctor indeed that relishes in having his authority or judgment questioned.

This is especially so when you want to ask questions of your doctor after he prescribes your treatment for migraine headaches relief.

But your doctor is not the one that has to deal with the consequences of the plan of treatment. And he is well compensated for the few short minutes you get to bask in his presence. If a question comes to your mind, you need to ask it.

If you want to know why a particular medication is giving you certain reactions, then ask.

If you want to why you are suffering even more migraine headaches since the onset of your treatment for migraine headaches relief, that question needs to be asked as well.

If you are not satisfied with the answers and treatment you are getting from your current doctor, you shouldn’t hesitate to see another doctor.

Just like any other profession in this world, not all doctors have the same level of skill.

4) Not Trusting What Your Own Body Is Telling You About Your Treatment For Migraine Headaches Relief

When I was child, my parents instructed me to do as the doctor advised.

But after 10 years of taking medications for migraine headaches I realized a couple of things. The first was that the more medications I took for migraine headaches relief, the more frequent and severe my migraines became. The second thing I realized what that I had tried virtually medical treatment available.

I had not listened to what my body had been telling me all along.

See, if you can answer this one simple question: When was the last time you had a migraine headache and didn’t take a pill?

When was the last time you considered a natural treatment for migraine headaches relief?

You have the ability to decide which treatment for migraine headaches relief is right for you.

Summation

An effective treatment for migraine headaches relief requires a Triptan prescription that works best for you

But even these are not very often necessary if you follow a proper path for migraine headaches relief. The last thing you want is to get caught in the rebound cycle.

There is not one person is this world that should naturally suffer more than a few migraine headaches a month (even that is too much).

There is not one person in this world that should be taking pills every day as their treatment for migraine headaches relief.

There is a better way.

Understanding Silent Migraine

“Silent migraine” is an unusual name for a chronic illness. People are used to saying or hearing a scientific term when referring to a medical condition. Accordingly, the names of the different types of migraine give clue to its believed cause or source, or nature. Silent migraine, however , is a curious name because sound is not something associated that with migraine. Nevertheless, it is a disease that affects quite a number of people and for this reason, it needs to be understood.

Silent migraine is also known as acephalgic migraine, eye migraine, visual migraine, ocular migraine. Experts, however , refer to it as migraine aura without headache. To better understand it, one needs to be familiar with the four stages of a typical migraine attack. The initial stage is called the prodrome. It is the time when warnings of an attack start to appear, such as irritability or confusion, diarrhea, thirst and food cravings. The next phase is the aura, a time when visual symptoms are felt. During this stage, other physical manifestations could also arise. These include slurred speech, tingling sensations or numbness and difficulty in moving. The pain then proceeds after this phase, which could last up to seventy-two hours. When this is over, sufferers will feel very tired for a day or so. Not all migraineurs go through all the four stages during an attack. Some migraines occur without the aura and some have episodes without the pain. This is what happens with a silent migraine.

Like the other migraine types, silent migraine has its own set of symptoms consisting of diarrhea, nausea and vomiting, loss of appetite or food cravings, thirst, fatigue, increased urination, chills, confusion, irritability and a feeling of euphoria. The most obvious symptom of silent migraine is the aura, which is a visual disturbance that is felt by the sufferer. When experiencing aura, he sees one or more of the following: wavy or jagged lines, flashing lights, dots and blind spots. Together with the aura, the patient might also go through distortions in sounds, smell or taste, numbness or tingling sensations in other parts of the body or speech difficulties.

Experts believe that a silent migraine is caused by abnormal nerve cell activity in the brain. Auras result when there is overstimulation and then depression of the activities of these nerve cells. The reduction of activity spreads across the brain, starting from the visual part to the other parts which affect bodily sensation and hearing. This chain reaction is started by certain events or substances called triggers. Identified triggers for silent migraine include stress, inadequate sleep, skipped meals, caffeine, alcohol, changes in weather, certain food, hormonal changes, bright lights and loud noises.

Mild or moderate attacks of silent migraine do not need treatment except rest. For more severe episodes, aspirin, beta-blockers and drugs classified as beta-agonist inhalant, are prescribed. Like the other forms of migraine, the best treatment is prevention the natural way. This involves no drugs but requires good self-care. This is the option that most migraine sufferers ought to consider.

Symptoms of Migraine

Migraine has also been referred to as a neurovascular headache due to the fact that one aspect of migraine development involves changes in the chemistry and diameter of the blood vessels that provides blood to the brain and the nerves in the neck and head.

How does migraine occur?

The common belief is that the sequence of occurrence of the migraine headache pains is as follows:

1 . First the blood vessels surrounding the brain becomes dilated and starting pressing on the adjacent nerves. It is still a mystery though on exactly how and why these blood vessels dilate although it seems that there is some form of chemical signal that is activating the pain sensors in the trigeminal nerve that runs from a location near the skull center, up and over the eyes and then towards the forehead.

2 . These stimulated nerve fibers then release fragments of proteins, known as neuropeptides, which cause the swelling and inflammation of the blood vessels.

3. The expansion of the blood vessels irritates the trigeminal nerve further, like a vicious cycle, resulting in the migraine headache pain.

Symptoms of migraine

A migraine attack typically goes through four distinct phases where the migraine sufferers will encounter certain migraine symptoms for each phase.

Prodrome phase

General symptoms experienced in the prodrome phase, also known as the preheadache phase, includes irritability, increased yawning, fatigue, mood swings and food cravings.

Aura phase

About 15% of migraine sufferers can experience an aura before the development of the migraine headache. Symptoms experienced are weakness or numbness on one side of the body, visual disturbances such as seeing blind spots and flashing lights, slurred speech and sensitivity to sound and light.

Headache phase

The migraine headache phase can usually last between 4 to 72 hours and is considered to be the most scary and painful phase. The symptom encountered is a throbbing headache where in about 60% of the cases, the headache occurs on only one side of the head. Other associated symptoms experienced includes diarrhea, nausea and vomiting, dizziness, lightheadedness and tinnitus.

Postdrome phase

The postdrome phase is when the pain and other associated symptoms have resolved and most of the time the migraine sufferer just feel like wanting to be left alone. Common symptoms encountered in this phase are surge in energy, increased appetite, euphoria, fatigue and confusion.

Not all migraine sufferers will go through all the four phases though. An example is a person who is suffering from migraine without aura, will completely skip the aura phase during the migraine attack. It is important that we understand what is migraine and the symptoms of migraine indepth so that we can differentiate it from other types of headaches and be able to seek appropriate treatment.

8 Triggers of Migraines and 6 Ways to Kiss Your Headache Goodbye

“A migraine is like a tornado; it attacks fast without any warning and wreaks havoc. ”

Migraines usually start during the teenage years or early in adult life, affecting more women than men with a ratio of three to one. Migraines are caused from constricted (tightening) arteries that supply blood flow to the brain. When the arteries constrict, blood flow to the brain is reduced as well as the brains oxygen supply. The brain reacts by dilating (enlarging) arteries to meet the brain’s need for energy. The dilation spreads to the arteries in the neck and scalp and is the culprit of the pain in migraines.

If you live with migraines, make sure to have your Doctor rule out an underlying illness or other medical conditions that mimic migraines with the appropriate tests: for example , x-rays determining sinus infection, EEG for seizure activity or a CAT scan to detect blood clots or a brain tumor. Your Dr . may determine a drug to help ease your pain.

Eight Migraine Triggers

1 . Cerviogentic Headache:

Some people who have a tender neck and suffer from sore bone and joint problems are diagnosed with this type

2 . Temporomandibular Migraine:

Triggered by teeth grinding

3. Sinus Migraine:

Triggered by allergies and caused by excessive mucous and often accompanied by a fever. If you have this type of migraine, you may experience pain around both eyes and also may feel nauseated and sensitive to light.

4. Genetic Migraines:

Studies have lined a gene to people affected with migraines. Often when the gene for migraines is passed on to the next generation, the recipient will also experience headaches around the same age as the person who passed on the migraine.

5. Stress Migraine:

Stress can be a major contributing factor to the onset of a migraine. Type A personalities are more likely to experience migraines. Type A is ambitious, bright, perfectionist, emotionally repressed, cautious and has a decreased ability to manage stress. However , this is the easiest type of migraine to treat because a type A personality can acquire the skills necessary to manage stress.

6. Hormonal Migraine:

Fluctuating hormones in women are often the cause of migraines and can happen during menstrual cycles.

7. Cigarette Migraine

An equal opportunity source of migraines is because the nicotine alters blood vessels. High carbon monoxide levels in a person who smokes or even inhales second hand smoke can lead to a migraine.

8. Food Migraines

Food allergies are another factor that leads to migraines. However , migraine sufferers are able to eat chocolate without falling prey to a migraine. Some patients actually report relief from eating chocolate.

Foods that Can Cause Migraines

1 . Aged cheese such as Roquefort, Stilton and Sharp Cheddar
2 . Fermented Dairy such as Sour Cream, Buttermilk and Yogurt
3. Citrus: Oranges or Grapefruit, including juice
4. Nuts: Peanuts, Walnuts or Pecans
5. Legumes: Peas, Beans and Soy product 6. Onions and Garlic
7. Bananas
8. Pickled foods: picked herring is the most common instigator
9. MSG found in Chinese food
10. Alcohol

Now that you know the common triggers, also note that skipping meals also causes migraines. Skipping meals causes your blood sugar to drop, which in turn causes a migraine.

Six Ways to Kiss Your Migraine Goodbye

1 . Medicine

Medicines have been used for centuries to treat migraines. Today Dr’s prescribe Beta Blockers to treat migraines by maintaining adequate dilation of blood vessels. Antidepressants: The brain chemical ‘serotonin’ plays a role in migraine attacks because the levels of serotonin may cause or relieve migraine and that’s why Drs sometimes prescribe antidepressants for migraines. Antidepressants reduce migraine frequency by regulating serotonin levels in the brain. Other drugs are triptans available as an injection or nasal spray. This type of drug shuts down the inflammation and transmission of migraine pain.

2 . Surgical Treatment

Nerve stimulators have been used to control back and muscle pain and in 2003 a nerve stimulator was successfully used to treat chronic headaches. With nerve stimulation, one end of a wire is connected to a nerve that controls pain and the other is connected to a small battery powered generator. The patient controls the generator via a remote device. Once turned on, it disconnects the pain signal.

Not only do chronic migraine suffers face agonizing physical disabilities, they also have the psychological fear of not being able to earn a living or manage their home life because daily activities can suddenly become unbearable with the onset of a migraine.

3. Holistic Intervention

Rarely are people offered a non drug approach to treating migraines. Treating a migraine holistically not only can treat the migraine at onset but can also act as prevention.

Create a headache diary listing the 5 W’s.

A. Who were you with?
B. Where? Did someone irritate you? At work with glaring lights?
C. What? What medications were you on?
D. When? When did the headache start?
E. Why? Did some particular food or drink aggravate the situation? Did you get enough sleep?

4. Review your diary after 30 days and see if you can isolate the trigger.

5. Use heat to help dilate the blood vessels in the body. This must be done at direct onset of your migraine. Soak your hands in hot water for 20-30 minutes. As the migraine progresses and the blood vessels enlarge, apply ice to the back of the neck and forehead to help constrict capillaries that are pressing against the nerves.

6. Relaxation techniques

You can use relaxation techniques to manage stress. Research has found that people who consciously practice yoga daily for 30 – 45 minutes can learn to positively manipulate involuntary bodily responses like migraine pain. Studies have shown that relaxation practiced on a regular basis achieves a 45 to 80% reduction or elimination in both migraine severity and frequency. Yoga triggers a boost in the brain chemical serotonin, a neurotransmitter that is involved with your body’s anger, pain, sleep and migraine and can be a cure for headaches.

Frequent headaches are a sign that you are stressed out and it’s your body’s way of saying slow down and take care of me. Especially if you are a type A personality. My type A patients often say they can’t sit still and have a difficult time with the relaxation/mediation part of yoga. My reply? What’s more difficult to live with. Meditating daily or living with a migraine, a stroke or a heart attack? These are very real situations that afflict people with constricted arteries and that’s why it’s vital that you make time for your health.

Unfortunately for my patients, I often meet them after they’ve suffered from a condition of vascular abnormality. They are very motivated to participate because they have experienced what happens when blood flow to the heart or brain is compromised. Consequently they practice my techniques daily to reduce a recurrence. Why not make time now? There are 1440 minutes in a day. 45 minutes a day practicing yoga is a wise investment in your health that offers a positive life style with increased energy without the use of toxic drugs polluting your liver and fewer Doctor visits which equals fewer co-payments. Yoga Chi for Energy DVD includes medically engineered relaxation techniques with an 11 minute meditation by a crackling fireplace.

Migraine – Effective Migraine Headache Treatment

Migraine is just one of many assorted headache varieties, each one categorized as either primary or secondary. The commonest primary headaches are tension, also known as stress, migraine, and sinus. Cluster is also a primary headache that happens infrequently. Tension headache is the most common in the primary grouping while migraine headache is number two. Migraine happens in roughly ten percent of the populace, with roughly three-fourths being seen in ladies. You can find a number of distinctive migraine variations, but if you expect to get migraine relief you ought to know which variety you experience.

Headaches in the secondary category are the consequence of a primary health disorder. Secondary headaches are the byproduct of a primary health disorder such as allergy, infection, brain tumor, or lots of other disorders. Normally, once you understand how to distinguish between the different headache varieties you will have a better chance of coming up with a treatment approach that will provide you with the most effective relief.

With regards to migraine headache, the most commonly occurring kinds are migraine with aura and migraine without aura. An aura is a visual abnormality that customarily comes less than an hour before the headache, but will sometimes happen during or afterward. These vision troubles are short-lived and will appear in lots of varieties such as hallucinations, zigzagging patterns of light in the field of vision, and some other vision disturbances. Auras are present in roughly one out of every five migraine attacks, or 20% of the time.

For the most part migraine headache varieties are provided names determined by the location on the body they disturb. The varieties normally experienced are basilar, abdominal, optic, and hemiplegic. It’s also possible to have a migraine with no headache. A person can face disturbances in vision or additional symptoms, but the actual headache will not materialize.

Abdominal migraine headache is customarily felt by young children, particularly when you can find a family history of the disorder. If a kid’s mother or father or brother or sister suffer from migraine attacks, it’s a lot more likely that a youngster will have abdominal migraines. It is also more likely that a youngster who experiences the condition will suffer with migraine headaches as an adult too. As would be expected, stomach pain is a key symptom of this type.

If a migraine starts in one of the eyes it will be known as an optic migraine, specifically regarded as an ophthalmoplegic migraine. Among the distinguishing characteristics of this type is the chance of obtaining paralysis of the eye muscles, additionally called ocular nerve palsy. The foremost visual symptom of eye muscle paralysis is drooping of the eyelid. Usually, the drooping eyelid will vanish in several days or weeks, however , despite the fact that it’s an infrequent occurrence, if someone experiences continual migraine attacks it may result in an eyelid droop that becomes permanent.

The basilar artery is located in the brainstem and if it’s disturbed it may lead to basilar artery migraine. This disorder is ordinarily seen in ladies from roughly 20 to 35 and can be preceded by disturbances in vision. Basilar artery migraine is customarily severe in intensity, producing symptoms from a number of hours to a number of days.

Not as commonly occurring is hemiplegic migraine. They’ll frequently first develop in youngsters and then cease to exist as grownups. They may become severe in nature and lead to total disability. The signs and symptoms may mimic stroke, but luckily, any nerve impairment will just be short-lived. In one victim the symptoms might consist of a severe headache as well as minor paralysis, but in another individual they might consist of a minor headache with severe paralysis.

Determining a migraine type correctly may usually be achieved by paying attention to which body part is affected along with its various symptoms. Nevertheless, accurately diagnosing a headache may very well be extremely tough sometimes, even for an experienced professional, due to the fact that a number of symptoms may overlap among headache types. The vital issue regarding migraine headache relief that you must appreciate, is that if you ever expect to discover a successful migraine headache treatment, it all begins with an accurate diagnosis.

New Migraine Treatment

New Migraine

migraine complications can be devastating. The pain of migraine caused sometimes you just want to crawl just right in the corner and not move until it is removed. You have a new effective treatment for migraine, although in a recipe.

The first step is to understand what causes your migraines. It’s very different now to everyone. Women are two to three times more likely to have problems with extreme migraines than men. If you frequent migraines, it is important to have a newspaper when he hit you, and what was going to keep trying to disconnect the trigger. Here’s a quick check of the things that people have discovered that their migraines Set: Hormonal changes in girls, especially during menstruation or menopause; Secondhand cigarette smoke; Light softly, or switch to live day after breast; The pressure of work or family; Too little sleep or a daily sleep schedule.

There are many other triggers, but these are some of the most common. If that can be done to reduce the various causes of migraine, which will help you in handling and avoid attacks as migraine. If you know how sensations visible during migraine attacks, which, as experienced migraine with aura. Drugs available to treat these symptoms, so be sure and describe the aura of mystery migraine your doctor prescription.

However , if a migraine started, is everything you want easier. Here are some quick migraine treatments to try. Again, different people documenting luck with all other therapies, do not be discouraged if they are not used to all of you. Just keep trying until you get a lot of help in the effective migraine that works for you.

Discover aspirin or other painkillers. Often they will not finish with a migraine, but they can help reduce the pain. P. c. cold or hot on the head. Chilly works well for some people, for others sizzles. Try the microwave a damp cloth for the treatment of rapid whistle. You can always get a wet towel placed in the freezer to cool down after the workout for a head. The consumption of salty snacks. Lots of people file will help you if they catch the start of your migraine attack that. Head massage. Someone therapeutic massage head provides less relief. Ask them to avoid rubbing temples, and focus on the rest of the head. This can be a burn or a cold compress after discovering that one offers
be combined with more migraine relief.
Remember, the key to a successful couple’s new plan for migraine resources is to start with your own trigger and aim and avoid a lot of headache as you can. Then check out all the other migraine treatments and find out what works best for you. Via minimize the rate of migraine and maximize migraine relief, you can create headaches dish with a little problem.