{"id":12068,"date":"2020-06-09T09:00:14","date_gmt":"2020-06-09T13:00:14","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=12068"},"modified":"2022-05-25T11:41:54","modified_gmt":"2022-05-25T15:41:54","slug":"pharmacist-knows-best-migraine","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/pharmacist-knows-best-migraine\/","title":{"rendered":"What you should know about migraine"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">It\u2019s very likely you or someone you know is living with migraine. In fact, <\/span><a href=\"https:\/\/migraineresearchfoundation.org\/about-migraine\/migraine-facts\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">1 in 4<\/span><\/a><span style=\"font-weight: 400;\"> American households includes someone who has migraine. It is the third most common illness in the world. <\/span><a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/migraine-where-we-are-and-where-we-are-going\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">The American Migraine Foundation estimates<\/span><\/a><span style=\"font-weight: 400;\"> that the annual cost of missed work and direct medical expenses related to migraine is as much as $20 million.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">June is National Migraine and Headache Awareness Month, which is a time for healthcare providers and patients to speak out for migraine recognition and treatment. Here is what you should know about the differences between migraine and headaches, when to seek treatment, and what your prescription options are.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">A migraine vs. a headache: What is the difference?<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Types of headaches<\/span><\/h3>\n<p><b>A regular, or non-migraine, headache <\/b><span style=\"font-weight: 400;\">can have many origins. One of the most common types is <strong>a tension headache<\/strong>. Tension headaches are a dull, constant, non-throbbing pain that are typically associated with a tightness in the scalp. This type of headache is typically brought on by emotional stress or is sometimes depression-related.\u00a0<\/span><\/p>\n<p><b>A sinus headache <\/b><span style=\"font-weight: 400;\">is associated with allergy and congestive symptoms typically leading to a pain behind the eyes and sinus cavity due to pressure build up. This type of headache may be more pronounced in the morning or when a patient bends over due to the pressure shift.<\/span><\/p>\n<p><b>Cluster headaches <\/b><span style=\"font-weight: 400;\">can be very painful and are more common in males. The pain is in the area of the eye, and it can be very sharp, last for hours, and occur day after day. These headaches may be brought on by alcoholic beverages and smoking.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are many <\/span><b>other types of headaches<\/b><span style=\"font-weight: 400;\">. Some may be related to hormone changes or menstrual cycles. Others may be associated with caffeine or nicotine withdrawal. Hunger or fasting may cause headaches. Activities which cause eyestrain, like video gaming or computer use, may also lead to non-migraine headaches.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But none of these headaches are like a <\/span><b>migraine<\/b><span style=\"font-weight: 400;\">. A migraine is unique. In fact, an ache in your head is only one symptom of a migraine. You can actually have a migraine without any pain in your head associated with it. So, how can you tell if you have a migraine?\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Migraine symptoms<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The symptoms associated with a migraine attack are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Throbbing pain, typically on one side<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Light and\/or sound sensitivity<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nausea and\/or vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Aura<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vision changes, blurred vision, or blind spots<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Most of these symptoms are self-explanatory, except for an aura. An aura associated with migraine episodes is a sensory change that occurs prior to a migraine\u2019s onset. It can include seeing flashes of light or a tingling feeling in your extremities. It may last up to an hour. Not every migraine is associated with an aura. Patients who have experienced an aura will likely not experience one with every migraine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You don\u2019t have to experience all of the above symptoms at once to be diagnosed with migraine. Every headache and every patient is different.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The frequency at which a patient experiences migraine attacks is very important to understand. Low-frequency episodic migraines are those occurring less than 10 times per month. High-frequency episodic migraines are those occurring 10-14 times per month. Chronic migraines are defined as occurring 15 times or more per month.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are unsure about what type of headache you are experiencing, or if your headache has been persistent and difficult to relieve, your healthcare provider will be able to more accurately diagnose your headache or migraine, as well as make appropriate treatment recommendations.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Migraine treatment options<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are both prescription and over-the-counter medications that you can take to treat migraine. Here is what your healthcare provider might recommend.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Over-the-counter migraine medications\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Acetaminophen and nonsteroidal anti-inflammatories (NSAIDs), such as aspirin, ibuprofen, or naproxen, may be taken on a short-term basis to provide migraine relief. These therapies are relatively inexpensive and may help in one or two doses. Caffeine, a vasoconstrictor, is also effective in relieving migraine pain. Excedrin Migraine, a popular OTC choice, is a combination product that contains acetaminophen, aspirin, and caffeine. Your pharmacist can point you in the right direction for pain relief if you\u2019re unsure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With all of these medications, it\u2019s important to note that over-the-counter treatment is not meant for long-term use without direct guidance from your healthcare provider.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Over-the-counter migraine treatment<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Classification<\/b><\/td>\n<td><b>Typical dose<\/b><\/td>\n<td><b>Best SingleCare price<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/aspirin\"><span style=\"font-weight: 400;\">Aspirin<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">325 mg to 1000 mg every 4 to 6 hours\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1.69<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen\"><span style=\"font-weight: 400;\">Ibuprofen<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">200 mg to 400 mg every 4 to 6 hours\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$6.06<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/naproxen\"><span style=\"font-weight: 400;\">Naproxen<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">220 mg every 12 hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$4.31<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/excedrin-migraine\"><span style=\"font-weight: 400;\">Excedrin Migraine<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">(Acetaminophen 250 mg\/ Aspirin 250 mg\/ Caffeine 65 mg) 1 to 2 tablets every 6 hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$2.40<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400;\">Prescription migraine medications\u00a0\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Unfortunately, OTC options do not provide adequate migraine relief for many. In those cases, prescription medication can make a difference. Prescriptions for migraine fall into two categories: those used for treatment and those used for prevention.\u00a0<\/span><\/p>\n<p><b>Migraine treatment<\/b><\/p>\n<p><a href=\"https:\/\/www.aafp.org\/afp\/2011\/0201\/p271.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Physician-developed treatment guidelines<\/span><\/a><span style=\"font-weight: 400;\"> list NSAIDs (specifically, ibuprofen and naproxen) as first-line treatment for mild to moderate acute migraine. NSAIDs relieve pain by decreasing the release of inflammatory prostaglandins. They are a cost-effective treatment option for mild to moderate migraines. NSAIDs generally are covered with commercial or Medicare Part D insurance plans. Be sure to check out SingleCare for cost savings as well. For instance, a typical prescription for ibuprofen 800 mg may cost as much as $37 without insurance, but with a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen\"><span style=\"font-weight: 400;\">SingleCare coupon<\/span><\/a><span style=\"font-weight: 400;\">, this prescription is less than $6. NSAIDs should not be taken on an empty stomach, and even as a prescription, they may not be best for consistent, long-term use.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For moderate to severe acute migraines, 5HT agonists, commonly known as \u201ctriptans,\u201d are first-line treatment. Triptans stimulate serotonin in the brain, which decreases inflammation and causes vasoconstriction. Vasoconstriction plays an important role in migraine management as it controls the sensation of blood flow. This helps control the throbbing or pulsating feel that many experience during a migraine attack.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are several choices of triptan drugs available on the market, including: almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, and zolmitriptan. Your prescriber will decide which one may be best for you, but all have been proven effective at treating migraine. Triptans are also generally covered by insurance, though some plans may have limitations on which type of triptan they cover or what quantity. The out-of-pocket price for sumatriptan can approach $200 for just 9 tablets, but <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sumatriptan-succinate\"><span style=\"font-weight: 400;\">SingleCare<\/span><\/a><span style=\"font-weight: 400;\"> brings that price down to less than $13.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Prescription migraine treatment<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Classification<\/b><\/td>\n<td><b>Typical dose<\/b><\/td>\n<td><b>Best SingleCare price<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen\"><span style=\"font-weight: 400;\">Ibuprofen<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">600 mg every 6 hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$6.06<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/naproxen\"><span style=\"font-weight: 400;\">Naproxen<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">500 mg every 12 hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$4.31<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Almotriptan<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">6.25 mg &#8211; 12.5 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">n\/a<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/eletriptan-hydrobromide\"><span style=\"font-weight: 400;\">Eletriptan<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20 mg to 40 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$161.04<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/frovatriptan-succinate\"><span style=\"font-weight: 400;\">Frovatriptan<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2.5 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$112.56<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/naratriptan-hcl\"><span style=\"font-weight: 400;\">Naratriptan<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1 mg to 2.5 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$92.61<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/rizatriptan-benzoate\"><span style=\"font-weight: 400;\">Rizatriptan<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5 mg to 10 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$43.83<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/sumatriptan-succinate\"><span style=\"font-weight: 400;\">Sumatriptan<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">25 mg to 50 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$42.90<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/zolmitriptan\"><span style=\"font-weight: 400;\">Zolmitriptan<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">5HT agonists (triptans)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2.5 mg to 5 mg at onset, may repeat once in 2 hours if no relief.<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$37.97<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>Migraine prevention<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Prevention options play an important role in the treatment of patients who have chronic migraine. These patients still need access to acute treatments when their migraines occur, but preventative medications can decrease how often these migraines occur. Until recently, Botox, or onabotulinumtoxin A, was the only FDA-approved preventative treatment. While very effective, Botox can be difficult to get approved under insurance and can be expensive. For years, several other medication classes have been used <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> for prevention of migraine with a great deal of success. These include seizure medications, antidepressants, and blood pressure medications. These medications generally have good insurance coverage and are cost-effective ways to help prevent chronic migraines. The following chart provides a summary of some options available in each class, though it is not intended to be all-inclusive.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Medications frequently used for migraine prevention<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Classification<\/b><\/td>\n<td><b>Typical dose<\/b><\/td>\n<td><b>Best SingleCare price<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/divalproex-sodium-er\"><span style=\"font-weight: 400;\">Divalproex<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Anticonvulsant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">500 mg ER twice daily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$12.99<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\"><span style=\"font-weight: 400;\">Topiramate<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Anticonvulsant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">25 mg twice daily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$8.53<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/metoprolol-tartrate\"><span style=\"font-weight: 400;\">Metoprolol<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Beta-blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">25 mg twice daily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$4<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/propranolol-hcl\"><span style=\"font-weight: 400;\">Propranolol<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Beta-blocker<\/span><\/td>\n<td><span style=\"font-weight: 400;\">20 mg twice daily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$16.33<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\"><span style=\"font-weight: 400;\">Amitriptyline<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Tricyclic Antidepressant<\/span><\/td>\n<td><span style=\"font-weight: 400;\">25 mg at bedtime<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$4<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/venlafaxine-hcl-er\"><span style=\"font-weight: 400;\">Venlafaxine<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Selective Norepinephrine Reuptake Inhibitor (Antidepressant)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">150 mg ER once daily<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$15<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Recently, a new class of drugs developed for migraine prevention came to market. These are a group of calcitonin gene-related peptide (CGRP) inhibitors. Patients who experience migraines are known to have higher levels of CGRP. When it binds to its receptor, it starts a cascade of events that lead to inflammation and migraine pain. People with chronic migraine may have their number of migraine days cut in half with CGRP inhibitors.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These medications can be expensive and insurance coverage may vary a great deal. The manufacturers offer some savings programs, and SingleCare is always available to help you get the best price. The following chart provides a summary of what is currently available in this class.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Anti-CGRP migraine treatment<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Brand name<\/b><\/td>\n<td><b>Generic name<\/b><\/td>\n<td><b>Classification<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/aimovig\"><span style=\"font-weight: 400;\">Aimovig<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">erenumab-aooe<\/span><\/td>\n<td rowspan=\"4\"><span style=\"font-weight: 400;\">CGRP Monoclonal Antibodies<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/ajovy\"><span style=\"font-weight: 400;\">Ajovy<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">fremanezumab<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/emgality\"><span style=\"font-weight: 400;\">Emgality<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">galcanezumab-gnlm<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2020\/761119s000lbl.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Vyepti<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">eptinezumab-jjmr<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/ubrelvy\"><span style=\"font-weight: 400;\">Ubrelvy<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">ubrogepant<\/span><\/td>\n<td rowspan=\"2\"><span style=\"font-weight: 400;\">CGRP Molecule Receptor Antagonists<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/nurtec\"><span style=\"font-weight: 400;\">Nurtec ODT<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">rimegepant sulfate<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">These lists are not meant to be all-inclusive and treatments may not be appropriate for every person with migraine. It\u2019s always best to speak with your healthcare provider to help decide your best course of treatment. You can compare <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/migraine-treatment-and-medications\/\"><span style=\"font-weight: 400;\">more migraine treatments here<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s very likely you or someone you know is living with migraine. In fact, 1 in 4 American households includes someone who has migraine. It is the third most common illness in the world. The American Migraine Foundation estimates that the annual cost of missed work and direct medical expenses related to migraine is as [&hellip;]<\/p>\n","protected":false},"author":93,"featured_media":11732,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[4316],"coauthors":[14301],"class_list":["post-12068","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-migraine","franchise-pharmacist-knows-best","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>More about migraine: Types of headaches and treatment options<\/title>\n<meta name=\"description\" content=\"Migraine is the third most common illness in the world. For Migraine Awareness Month, we compared migraine medications for treatment and prevention.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/pharmacist-knows-best-migraine\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What you should know about migraine\" \/>\n<meta property=\"og:description\" content=\"It&#039;s the third most common illness in the world. 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