The two medical approaches to migraine are abortive therapy and prophylactic therapy.  Abortive medications are used to end an acute headache when it occurs while prophylactic medications are used daily to prevent headaches from occurring.  Prophylactic therapy is used when the patient experiences headaches four or more times per month.

Preventive medications:
• Antihypertensives- calcium channel and beta blockers
• Antidepressants- serotonin reuptake inhibitors and Tricyclic antidepressants
• Anti seizure medications-Topamax and Depakote

Abortive medications
• Triptans-such as Imitrex, Maxalt and Relpax
• Antiinflammatories-such as Cambia and Toradol
• Ergotamines-such as Migranal
• Antiemetics-such as Reglan
• Steroids-such as Decadron and a Medrol dose pak

• FDA approved for the treatment of chronic migraines
• Subcutaneous injections administered every three months

• Such as Occipital Nerve Blocks, Sphenopalatine Ganglion Blockade, cervical blocks and trigger point injections

Vitamin therapy
• Magnesium
• Riboflavin (B2)
• Coenzyme Q 10
• Alpha Lipoic Acid
• Feverfew
• Butterbur

Alternative therapies
• Accupuncture
• Biofeedback

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