Treatment FAQ

migraine treatment when pregnant

by Pamela Osinski Published 3 years ago Updated 2 years ago
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Nondrug therapies (relaxation, sleep, massage, ice packs, biofeedback) should be tried first to treat migraine in women who are pregnant. For treatment of acute migraine attacks 1000 mg of paracetamol (acetaminophen
paracetamol (acetaminophen
Similar results were obtained previously by Rawlins and others,28 who showed that bioavailability of acetaminophen tablet dosage forms increased from 63% after 500-mg doses to 89% after 1000-mg doses.
https://www.ncbi.nlm.nih.gov › pmc › articles › PMC4485512
) preferably as a suppository is considered the first choice drug treatment.

How can you take care of migraines during pregnancy?

Non-medication options Hydration: Staying hydrated is important for all pregnant women, but especially for those with migraine. “Typically a... Caffeine: Many women decide to cut out caffeine completely when they become pregnant, but a low level of caffeine is... Magnesium: Magnesium is a supplement ...

How to treat migraines safely during pregnancy?

Nondrug therapies (relaxation, sleep, massage, ice packs, biofeedback) should be tried first to treat migraine in women who are pregnant. For treatment of acute migraine attacks 1000 mg of paracetamol (acetaminophen) preferably as a suppository is …

What are the best therapies for acute migraine in pregnancy?

Paracetamol is considered the most appropriate first-line pharmacological therapy for acute attacks of migraine. Depending on the stage of pregnancy, NSAIDs may offer alternative therapeutic options, and sumatriptan may also be considered, although there is less evidence of safety in pregnancy for these agents than for paracetamol.

What to expect from migraine during pregnancy?

Purpose of review: Since up to 40.9% of reproductive aged women have migraine-and reproductive-aged women often reproduce-it is essential that we have good information and guidelines regarding proper treatment of migraine during pregnancy and lactation. Recent findings: A review of articles published in the last year on the treatment of migraine during …

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Can you take sumatriptan while pregnant?

Depending on the stage of pregnancy, NSAIDs may offer alternative therapeutic options, and sumatriptan may also be considered, although there is less evidence of safety in pregnancy for these agents than for paracetamol. Use of prophylactic therapies may be justifiable for some women and should be decided on an individual basis depending on ...

Is paracetamol good for migraines?

Adequate fluid replacement is needed for dehydration. Paracetamol is considered the most appropriate first-line pharmacological therapy for acute attacks of migraine.

Can migraines cause abortion?

In some women migraine presents for the first time during pregnancy. Migraine itself does not appear to increase the risk of spontaneous abortion, congenital malformation or other pregnancy-related complications.

Can migraines occur during pregnancy?

Migraine is common in women of reproductive age and may occur in pregnancy. It has been estimated that in up to 80% of women who suffer migraines, both the frequency and severity of attacks improve during the second and third trimesters of pregnancy, thus routine prophylaxis with therapies such as topiramate or propranolol is not recommended ...

Can migraines come back after pregnancy?

The bad news? Even if your migraines got better during pregnancy, they might come back after you have your baby, cautions Dr. Crystal. On the plus side, breastfeeding might be able to delay the return of your migraines.

Can migraines affect babies?

Migraines can be so severe , you might worry they’re affecting your baby too. “The good news,” Dr. Crystal says,” is that large studies have not shown increased rates of birth defects or stillbirths in migraineurs.”

Can you get migraines while pregnant?

If you’re not lucky enough to experience fewer migraines during pregnancy, what can you do to treat them? It turns out that, while pregnant, many prescription and over-the-counter medications are considered unsafe or risky, or just haven’t been researched enough for doctors to be confident making a recommendation.

What is the best medication for migraines during pregnancy?

NSAIDs typically are regarded as the second line of defense against migraine pain during pregnancy. These drugs, which work by decreasing the production of hormone-like compounds called prostaglandins that send pain messages to the brain, include: 8 1 Aspirin (the most common brand is Bayer) 2 Advil, Motrin (ibuprofen) 3 Aleve (naproxen)

What is the second line of defense against migraines during pregnancy?

NSAIDs typically are regarded as the second line of defense against migraine pain during pregnancy. These drugs, which work by decreasing the production of hormone-like compounds called prostaglandins that send pain messages to the brain, include: 8

Is it safe to take ibuprofen while pregnant?

Aspirin (the most common brand is Bayer) Advil, Motrin (ibuprofen) Aleve (naproxen) In general, NSAIDs are safe for most pregnant women up until the third trimester, according to the Organization of Teratology Information Specialists (OTIS). 9. During the last three months of pregnancy, there is a risk that ibuprofen might cause a blood vessel ...

Can ibuprofen cause low amniotic fluid?

OTIS also states that ibuprofen used in late pregnancy might lead to low levels of amniotic fluid or stalled labor.

Can NSAIDs cause miscarriage?

There is some evidence to suggest that use of NSAIDs early in pregnancy (up to eight weeks) could cause bleeding and potential miscarriage, although it is important to note that miscarriage can happen in any pregnancy and often the reason is not specifically known. 10.

Can you take NSAIDs during pregnancy?

Like other NSAIDs, these should not be taken after the second trimester of pregnancy. 11.

Can triptans cause birth defects?

However, research has found triptans to be safe during pregnancy, with no significant increase in birth defects, prematurity, or miscarriage. 14. Triptans for Migraine Relief.

What is the best medication for migraines?

Beginning with the simplest and safest medication options, acetaminophen (or Tylenol, pregnancy category B) is considered the first line of therapy to control pain in a pregnant female. If you are lucky enough to have Tylenol on your list of effective migraine strategies, leave it on the list.

How old was Lindsay Weitzel when she had a migraine?

Dr. Lindsay Weitzel experienced chronic daily migraine from the time she was four years old until she was thirty. Her constant migraine attacks caused enough damage to give her complex regional pain syndrome (a ceaseless pain like burning fire) down the right side of her face, head, neck, and arm. Lindsay believes that having no memory without daily pain gave her a unique perspective on living with and fighting off her disease.

Do migraines disappear during pregnancy?

Many women reported their migraine disease improved, but I was skeptical. The medical literature reports that the vast majority of women (80-90%) experience some relief during pregnancy. For some, their migraine symptoms disappear completely. However, it has been reported that up to 35% of women experience migraine attacks during pregnancy, ...

Can pregnant women take migraine pills?

Nine out of ten pregnant women with migraine deliberately avoid migraine medication de spite needing it on one or several occasions. Women also report purposely not adhering to a medication regimen prescribed by their physician for migraine during pregnancy stating concerns about the possible effects on their baby.

Does migraine affect pregnancy?

Migraine exacerbates sleep problems, increases stress, and can lead to depression and negative mood. It also causes dehydration and poor nutrition, particularly if nausea and vomiting are involved. Active migraine during pregnancy has actually been associated with certain vascular problems.

Can you take dihydroergotamine while pregnant?

Some people use dihydroergotamine (DHE) as a rescue treatment for their migraines. Unfortunately, ergot alkaloids like DHE are contraindicated in pregnancy (category X) due to their ability to cause vasoconstriction of the uterus. Studies have linked the use of these medications during pregnancy with low birth weight and preterm birth. Opioids are not considered an effective treatment for migraine and are rarely prescribed as a rescue treatment in this setting. A large study found a link between the use of opioids in early pregnancy and certain fetal problems; however, the study had some methodological limitations. If necessary, short-term use of opioids in pregnancy is a possibility. However, this is not are not a common strategy used in migraine.

Can opioids help with migraines?

Opioids are not considered an effective treatment for migraine and are rarely prescribed as a rescue treatment in this setting. A large study found a link between the use of opioids in early pregnancy and certain fetal problems; however, the study had some methodological limitations.

How to treat migraines during pregnancy?

During the first three months the symptoms of pregnancy can make your migraine worse. Morning sickness can mean that you feel like eating and drinking less which can cause low blood sugar and dehydration. If you are not careful this can make your migraines worse. You should try to eat small frequent meals and drink frequent small amounts of water to prevent this. You will also be helping reduce any pregnancy sickness. Other remedies may include: 1 Dark Room — Often, a migraine can make you sensitive to bright lights. Find a dark room, and turn off any electronics. 2 Nap — Lying down to take a short nap can help alleviate migraines. Many people report that an hour nap is often enough to stop the pain. 3 Cold Pack — While lying down, place a cold pack or damp towel on your head. The cold should constrict blood vessels in your head and help alleviate the pain. 4 Relaxation Techniques — Talk to your doctor about relaxation exercises that are safe during pregnancy. Relaxing the muscles around your back, neck, and head can release the pressure causing the migraine. 5 Take care of yourself — Sometimes, migraines can be set off by dehydration, tiredness, not eating well, or lack of sleep. Try to maintain a healthy, balanced lifestyle, which can help mitigate the symptoms of migraines.

How to stop migraines?

Nap — Lying down to take a short nap can help alleviate migraines. Many people report that an hour nap is often enough to stop the pain. Cold Pack — While lying down, place a cold pack or damp towel on your head. The cold should constrict blood vessels in your head and help alleviate the pain.

Can breastfeeding cause headaches?

During breastfeeding, stable oestrogen levels continue to be protective against having headache again after pregnancy. However you are affected, it can help to identify any migraine attack triggers that you have, such as lack of sleep, stress, missed meals and dehydration.

Can you take pain medication while pregnant?

If you currently take pain medication for migraines, it is best to discuss with your doctor whether it is safe to continue using. It is best to avoid using any herbal remedies to alleviate migraines during pregnancy, as many have not been tested, and some have been shown to lead to complications.

What are the symptoms of migraines?

Migraines are sometimes accompanied by nausea, sensitivity to light, vomiting, dizziness, and “auras,” which are spots or lines that can occur across one’s vision. The pain can sometimes make it difficult to focus, and symptoms can be debilitating.

Can migraines cause nausea during pregnancy?

Symptoms of migraines during pregnancy. A migraine usually starts out as a dull ache and then eventually becomes a throbbing, constant, and pulsating pain in the temples, in front of the head, or base of the head. Migraines are sometimes accompanied by nausea, sensitivity to light, vomiting, dizziness, and “auras,” which are spots or lines ...

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