Treatment FAQ

migraine when pregnant treatment

by Marcelino Turner Published 2 years ago Updated 1 year ago
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Migraine Medications That Are Safe During Pregnancy

  • Pain Medications. Also known as analgesics, these are drugs that have the primary purpose of relieving the often excruciating headache associated with a migraine episode.
  • Triptans. ...
  • Migraine Medications to Avoid During Pregnancy. ...
  • A Word From Verywell. ...

Primary headaches in pregnant women usually can be treated at home. Rest, a neck or scalp massage, hot or cold packs, and over-the-counter anti-inflammatory drugs such as Tylenol, aspirin, or ibuprofen can reduce the pain.Oct 2, 2018

Full Answer

How to relieve a migraine while pregnant?

Steps to manage headaches include the following:

  • Avoid any known headache triggers, including allergens and certain foods, like monosodium glutamate, cured meats, and strong cheeses.
  • Smoking is never a good idea in pregnancy. ...
  • Try to eat well and drink plenty of fluids, especially if you are prone to morning sickness.
  • Reduce your stress level. ...

More items...

When to worry about migraines during pregnancy?

“After 20 to 23 weeks of pregnancy, the most common thing we consider and rule out is the possibility that the headache is from the condition of pre-eclampsia which, in general terms, is a rise in blood pressure leading to a host of pregnancy complications,” he says.

Is it safe to take migraine medication during pregnancy?

What is the recommended treatment for migraine in pregnancy?

  • Avoiding triggers for migraine (including stress and certain foods)
  • Relaxation and deep breathing techniques
  • Getting enough sleep
  • Massage
  • Use of ice packs

How is acetaminophen used to treat migraines during pregnancy?

  • Introduction. ...
  • Effect of Pregnancy on Migraine. ...
  • Pregnancy Labeling Rules. ...
  • Preventive Treatment in Pregnancy. ...
  • Abortive Treatment in Pregnancy. ...
  • Practical Considerations. ...
  • Conclusion. ...

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Which migraine medicine is best in pregnancy?

MEDICATIONS FOR THE ACUTE TREATMENT OF MIGRAINE 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.

What painkillers can I take for migraine while pregnant?

Paracetamol is the first choice of painkiller if you're pregnant. However, for safety, if you take paracetamol in pregnancy, take it for the shortest possible time. You can get advice from your pharmacist, midwife or GP about how much paracetamol you can take and for how long.

Is it bad to have a migraine while pregnant?

Over half of women find that their migraines happen less often in the last few months of pregnancy. But migraines may get worse after birth, during the postpartum period. Although migraine headaches may cause you severe pain, they do not harm your developing baby (fetus).

What triggers migraine in pregnancy?

One of the most common triggers — at least for women — is fluctuating hormone levels, particularly the rise and fall of estrogen. Moms-to-be who get migraine attacks tend to experience them most often in the first trimester of pregnancy, when hormone levels, including estrogen, haven't yet stabilized.

What is the fastest way to get rid of a migraine?

Hot packs and heating pads can relax tense muscles. Warm showers or baths may have a similar effect. Drink a caffeinated beverage. In small amounts, caffeine alone can relieve migraine pain in the early stages or enhance the pain-reducing effects of acetaminophen (Tylenol, others) and aspirin.

How long do pregnancy migraines last?

Common migraine pain may last three or four days. Symptoms may include: Mental "fuzziness" Mood changes.

Can migraines miscarriage?

Migraine increases the risk of complications during pregnancy and childbirth. Summary: Pregnant women with migraine have an increased risk of miscarriage, caesarean sections and giving birth to a child with low birth weight.

Should I go to the ER for a migraine while pregnant?

You should seek medical attention for any abnormal head pain during pregnancy. Migraine severity may also be affected by medication changes. Although most safely switch to new medication with minimal side-effects, some experience allergic reactions.

When should I worry about migraines during pregnancy?

When should I be concerned? When a headache is severe, or just doesn't go away, or when you have dizziness, blurred vision, or changes in your field of vision, you should contact your healthcare provider. Headaches can sometimes be related to blood pressure problems in pregnancy.

What home remedies help migraines?

Tips to Get Rid of a HeadacheTry a Cold Pack.Use a Heating Pad or Hot Compress.Ease Pressure on Your Scalp or Head.Dim the Lights.Try Not to Chew.Hydrate.Get Some Caffeine.Practice Relaxation.More items...•

What is the natural remedy for headache during pregnancy?

TreatmentFor a sinus headache, apply a warm compress around your eyes and nose.For a tension headache, use a cold compress or ice pack at the base of your neck.Eat smaller, more frequent meals to maintain your blood sugar. ... Get a massage, especially around your shoulders and neck.Rest in a dark room.More items...•

When should you go to the hospital for a migraine?

Go to the ER if you are experiencing severe migraine symptoms, or symptoms such as confusion, fever and vision changes, neck stiffness, trouble speaking or numbness or weakness, even if other symptoms of migraine are present (e.g. light sensitivity, nausea).

How to get rid of headaches from a migraine?

A cold pack (wrapped in a towel) placed over your head can numb the pain; a heating pad around your neck can ease tension in tight muscles. Stay in the dark. If you have the luxury, retreat to a dark, quiet room when a migraine attack hits. Light and noise can make your headache worse.

How painful are migraines?

Well, almost. Maybe we shouldn’t go that far — but migraine attacks can be very painful. , 75 percent of whom are women. While many women (up to 80 percent) find that their migraine attacks improve with pregnancy, others struggle on. In fact, about 15 to 20 percent of pregnant women experience migraine.

Why do migraines run in families?

Migraine headaches seem to have a genetic component, which means they tend to run in families. That said, there’s usually a triggering event that unleashes them. One of the most common triggers — at least for women — is fluctuating hormone levels, particularly the rise and fall of estrogen.

Can migraines affect pregnant women?

In fact, about 15 to 20 percent of pregnant women experience migraine. Women who have migraine attacks with “aura” — a neurological event that accompanies or proceeds migraine and can manifest as flashing lights, wavy lines, vision loss, and tingling or numbness — generally don’t see their headaches improve during pregnancy, according to experts.

Can you take aspirin while pregnant?

Full-dose aspirin. If you’re to kick it old school and pop some aspirin, don’t. Its use during pregnancy has been linked to many problems, including miscarriage and bleeding in you and your baby. Ask your doctor before taking combination drugs like Excedrin Migraine.

Can migraines cause strokes?

shows that pregnant women with migraine have a higher risk of stroke. But — take a deep breath — experts say that the risk is still very low. That’s the bad news — and it’s important to keep it in perspective. The fact of the matter is, most women with migraine headaches will sail through their pregnancies just fine.

Can you have a migraine while pregnant?

A migraine attack while you’re pregnant will look a lot like a migraine attack when you’re not pregnant. You’re apt to experience: throbbing head pain; usually it’s one-sided — behind one eye, for example — but it can occur all over. nausea. sensitivity to light, smells, sounds, and movement. vomiting.

How to stop migraines from getting worse?

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: Dark Room — Often, a migraine can make you sensitive to bright lights.

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.

How to know if you have a migraine?

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. Keeping a headache diary may help pinpoint your triggers so you can avoid those things. Log when the headache happened, what “triggered” it, and how long it lasted. Common triggers include but are not limited to: 1 Stress 2 Chocolate 3 Cheese 4 Coffee 5 Weather 6 Hormones

How to stop migraines from waking up in dark room?

Dark Room — Often, a migraine can make you sensitive to bright lights. Find a dark room, and turn off any electronics. 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.

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 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 ...

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.

How to prevent migraines during pregnancy?

Your first line of defense against migraine headaches is a healthy lifestyle and self-care. Here are some tips to help you manage migraines during pregnancy: 1 Avoid your known triggers, such as specific foods, as much as possible. 2 Keep a predictable schedule of meals and snacks. 3 Drink plenty of water. 4 Get plenty of rest. 5 Consider taking a class in biofeedback or other relaxation techniques. 6 When pain strikes, try ice packs, massage, and resting in a quiet, darkened room.

What is the best treatment for migraines?

These general pain-relieving drugs, though, aren't specific to the migraine pain pathway: Acetaminophen is generally considered low-risk during pregnancy.

How long do migraines last?

And something that triggers a migraine one day may not bother you at all the next. Some migraines last a few hours. Others, if left untreated, could last a couple of days. Migraines are quite unpredictable. So while pregnancy may make them worse for one woman, they might completely disappear for another.

Why do migraines cause blood vessels to swell?

Researchers believe that overly excited brain cells stimulate a release of chemicals. These chemicals irritate blood vessels on the brain 's surface. That, in turn, causes blood vessels to swell and stimulate the pain response .

What causes headaches when you travel?

Any treatment you tried, and whether it helped or made the headache worse. Common headache triggers include: Chocolate. Caffeine.

Can pregnancy cause headaches?

If you're pregnant, you're no doubt experiencing new aches and pains. If you're also one of the millions of pregnant women who experience migraines, you might be glad to know that pregnancy eases migraine headache symptoms for many women. But even if it doesn't for you, the information in this article can help you cope.

Can migraines be caused by preeclampsia?

Tests for Migraines. Headaches can be caused by a pregnancy complication called preeclampsia. So your doctor may evaluate you for that condition before making a diagnosis of migraine. Be sure to tell your doctor about all the medications you're taking, including over-the-counter products and natural supplements.

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.

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.”

Does caffeine cause migraines?

Yet for some people, caffeine a migraine trigger. And becoming reliant on caffeine every day can lead to rebound headaches.

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.

What is the best medication for migraines during pregnancy?

Anti-sickness treatment may be needed for migraine and the following have been used in pregnancy: cyclizine, ondansetron and prochlorperazine. Domperidone and metoclopramide are probably best avoided in the first three months, but this is a choice to make in discussion with your doctor.

Why do women get migraines after giving birth?

Some mothers find they have a bad attack within a couple of days of giving birth. This may be due to the sudden drop in oestrogen levels after the birth. Exhaustion, dehydration, erratic sleep and low blood sugar after giving birth may all play a part.

How to avoid migraines?

As far as you can, strive for a balance in activities and get sufficient rest to avoid migraine attacks where possible. Not everyone is able to stop and go to bed, but planning ahead, setting a regular routine and delegating work or household tasks whenever possible can often help.

How long after taking aspirin can you breastfeed?

If you need to take aspirin or other non-recommended medication, such as the anti-sickness drug metoclopramide, whilst you are breastfeeding it is best not to breastfeed for 24 hours after the last dose. Ideally, keep some expressed milk in the freezer for such occasions; otherwise, you will need to give formula milk.

What are some ways to help a woman's head?

Complementary and alternative medicine. Non-drug treatments certainly can be helpful, and massage, acupuncture, relaxation and biofeedback have been found to be useful by some. Some women also find applications of heat or cold to the head can be useful.

Can migraines cause oestrogen levels to increase?

Hormonal change is a common trigger for women with migraine. During pregnancy, oestrogen levels increase sharply, while progesterone levels decrease and rise again towards the end of the pregnancy. Overall migraine improves during pregnancy especially during the second and third trimesters. This improvement may be due to ...

Can pregnancy affect migraines?

Hormonal changes in pregnancy. How a pregnancy might affect your migraine and how you will manage is a common question for women who have migraine and are trying to get or are pregnant. Key issues include what medicines are safe to use and whether your attacks will change, including whether you will have aura for the first time.

How to get rid of migraines?

Identify and avoid your triggers. Experiment by avoiding foods like chocolate, caffeine, and processed foods, to see if it affects your migraines. Make sleep a priority. Follow consistent sleep and wake times. Purchase and practice using earplugs and a sleep mask, if necessary. Use good sleep hygiene. Stay hydrated.

How many women have migraines?

Over 25% of women experience migraine during their lifetime, and hormone fluctuations, especially changes in estrogen levels, can have a big impact on the frequency and intensity of migraine attacks. That’s especially true of the hormonal changes that accompany pregnancy. If you are pregnant or plan to become pregnant soon, what do you need to know?

Can pregnancy cause migraines?

Pregnancy can have a significant impact on migraine symptoms and how women should treat them. Here’s what experts have to say. First, the good news: Between 50 and 80% of pregnant migraine patients actually experience a reduction in migraine attacks during their pregnancy, according to David Dodick, a professor of medicine at ...

Can migraines cause preeclampsia?

The appearance or worsening of migraine in pregnant women should be taken very seriously: Studies show that migraine symptoms, when accompanied by high blood pressure, can increase the risk of developing preeclampsia or other vascular complications.

Can migraines decrease during pregnancy?

Women whose migraine symptoms don’t decrease during pregnancy should be particularly vigilant. It’s important to work with your obstetrician and your headache doctor when you have migraine to establish a safe treatment plan.

Does estrogen help with migraines?

Many doctors believe rising estrogen levels help reduce migraine frequency and intensity. Hormone replacement therapy that mimics pregnancy’s effect on the body is increasingly being used in migraine treatment plans, especially for those who experience migraines around the time of menstruation.

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

Can acetaminophen affect babies?

5. However, according to a 2017 study, any potential links between acetaminophen taken during pregnancy and negative effects on babies are weak at best.

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.

Can you take migraine pills while pregnant?

Migraine pain—if experienced during pregnancy—is often severe enough to require medication. Sometimes other migraine symptoms, such as nausea and vomiting, also must be treated with drugs as well. 2. Fortunately, there are a number of effective migraine medications that the Food and Drug Administration (FDA) considers safe to take during pregnancy.

Can migraines cause headaches during pregnancy?

Most migraine headaches during pregnancy are a nuisance, but not an emergency. However, you should seek medical attention right away if you develop a migraine that doesn't get better with treatment or is accompanied by other symptoms, such as fever or blurred vision. Along with persistent head pain, these can indicate a serious condition such as a stroke, preeclampsia, pituitary tumor, or cerebral venous thrombosis. 20

Can you take NSAIDs during pregnancy?

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

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