{"id":4457,"date":"2019-06-10T13:50:33","date_gmt":"2019-06-10T17:50:33","guid":{"rendered":"https:\/\/qa.singlecare.com\/blog\/?p=4457"},"modified":"2020-10-17T18:17:22","modified_gmt":"2020-10-17T22:17:22","slug":"postdrome-phase-migraine-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/postdrome-phase-migraine-effects\/","title":{"rendered":"How to survive a migraine hangover"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">You wake up tired, achy, and irritable, with a dull pain in your head and an overall feeling that you\u2019ve been hit by a truck. (Ouch!) Sounds like a hangover, right? Except you didn\u2019t have anything to drink last night\u2014because you had a raging migraine instead.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Welcome to the migraine postdrome phase, sometimes called a migraine hangover. It\u2019s the part where the worst of the episode is over but you\u2019re not exactly back to 100% yet.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is a migraine postdrome, and what does it feel like?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are four stages of a migraine experience, according to the <\/span><a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/migraine-hangover\/\"><span style=\"font-weight: 400;\">American Migraine Foundation<\/span><\/a><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><b>Prodrome phase<\/b><span style=\"font-weight: 400;\"><strong>:<\/strong> A few hours to a couple of days before a migraine. Prodromal symptoms include mood changes, food cravings, neck stiffness, and fogginess among others.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Aura<\/b><span style=\"font-weight: 400;\"><strong>:<\/strong> 25% to 30% of people with migraine experience a migraine with aura five to 60 minutes before a migraine headache begins. Aura symptoms include visual disturbances and numbness or tingling.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Headache<\/b><span style=\"font-weight: 400;\"><strong>:<\/strong> This pain phase can last up to 72 hours. Headache symptoms range from a throbbing to a drilling sensation, accompanied by nausea, insomnia, congestion, and more.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Postdrome phase<\/b><span style=\"font-weight: 400;\"><strong>:<\/strong> It\u2019s the phase of migraine that occurs after the head pain ends. Common symptoms are similar to a hangover, and can include:<\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fatigue or brain fog<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Light or noise sensitivity\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Body aches<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty concentrating<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stiff neck\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pale face<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cDuring a migraine, your body undergoes this huge storm of activity that affects all different parts of your brain,\u201d says Deborah I. Friedman, MD, MPH, professor of Neurology at the <\/span><a href=\"https:\/\/utswmed.org\/doctors\/deborah-friedman\/\"><span style=\"font-weight: 400;\">University of Texas Southwestern Medical Center<\/span><\/a><span style=\"font-weight: 400;\"> and a member of the American Headache Society. \u201cThat doesn\u2019t magically turn off [when the migraine stops] \u2026 it takes time for things to reset and come back to your baseline, which is different for everyone.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The postdrome phase is pretty common, according to a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4955275\/\"><span style=\"font-weight: 400;\">2016 study<\/span><\/a><span style=\"font-weight: 400;\"> in the journal <\/span><i><span style=\"font-weight: 400;\">Neurology<\/span><\/i><span style=\"font-weight: 400;\">. Of 120 patients evaluated, 97 reported having \u201cat least one nonheadache symptom in the postdrome,\u201d with these after effects ranging from fatigue and difficulty concentrating to neck pain and residual migraine headache.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How long can migraine postdrome last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dr. Friedman says that the postdrome phase can last for a day or so after the migraine ends, and that there\u2019s not much you can do to hurry the process along or feel better faster. But that doesn\u2019t mean there\u2019s no way to lessen the severity of the migraine postdrome phase.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How to get rid of a migraine hangover\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThe best way to avoid the postdrome phase is to not have a migraine in the first place,\u201d says Miami, Florida\u2013based neurologist <\/span><a href=\"https:\/\/doctors.umiamihealth.org\/provider\/Teshamae+Monteith\/525355#provider-details-experience\"><span style=\"font-weight: 400;\">Teshamae Monteith<\/span><\/a><span style=\"font-weight: 400;\">, MD, a fellow of the American Academy of Neurology. \u201cMigraine is a multi-phasic disorder, so once it sets in, chances are good that you\u2019ll have the postdrome phase.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To successfully prevent more migraines, Dr. Monteith suggests working with your doctor to:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">find the right combination of pharmacological treatments<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">address any necessary <\/span><a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/understanding-migraineheadache-hygiene-what-is-it\/\"><span style=\"font-weight: 400;\">lifestyle modifications<\/span><\/a><span style=\"font-weight: 400;\">, like your diet or exercise habits<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">identify the foods, activities, or even hormonal changes that may trigger your migraine attacks .\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dr. Monteith also says that if you suffer from at least four migraines per month, getting on a preventative medication\u2014such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/ubrelvy-ubrogepant-migraine\/\"><span style=\"font-weight: 400;\">Ubrelvy<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/topamax-for-migraines\/\"><span style=\"font-weight: 400;\">Topamax<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\"><span style=\"font-weight: 400;\">topiramate<\/span><\/a><span style=\"font-weight: 400;\">), beta-blockers, Botox injections, or a <\/span><a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/what-to-know-about-the-new-anti-cgrp-migraine-treatment-options\/\"><span style=\"font-weight: 400;\">calcitonin gene-related peptide<\/span><\/a><span style=\"font-weight: 400;\"> (CGRP)\u2014can also be helpful because waiting too long to treat a migraine often makes the entire episode worse.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/talk-doctor-migraine-prescriptions\/\"><b>When to talk to your doctor about a prescription for migraines<\/b><\/a><\/p>\n<p><a href=\"https:\/\/americanmigrainefoundation.org\/resource-library\/oral-triptan-therapy\/\"><span style=\"font-weight: 400;\">Triptans<\/span><\/a><span style=\"font-weight: 400;\"> are another class of prescription drugs to treat migraine pain. They\u2019re designed to stop a migraine after it starts by constricting blood vessels to obstruct pain pathways in the brain. Keep in mind that some triptans can actually cause some of their own side effects and aggravate the effects of the postdrome phase. (Triptans include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/imitrex\"><span style=\"font-weight: 400;\">Imitrex<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/maxalt\"><span style=\"font-weight: 400;\">Maxalt<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zomig\"><span style=\"font-weight: 400;\">Zomig<\/span><\/a><span style=\"font-weight: 400;\">, among others.) And it\u2019s important to note that triptans cannot be taken during pregnancy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cTriptans can be associated with fatigue, concentration impairment, chest tightness, neck pain, and achiness of the jaw,\u201d Dr. Monteith advises. \u201cBut a long-acting triptan [like frovatriptan] may have fewer side effects, so you should talk to your doctor if you feel like your triptan is making the postdrome phase worse.\u201d\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/migraine-treatment-and-medications\/\"><b>Migraine treatment and medications<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Finally, be sure to practice some serious self-care whenever possible during the postdrome phase. Your brain has been through a lot and needs time to recover. Dr. Monteith recommends getting extra sleep, limiting mentally-stimulating activities, minimizing stress, and managing any specific migraine symptoms as they arrive (like treating neck pain with a pain reliever).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere also can be anxiety associated with these postdrome symptoms,\u201d says Dr. Monteith, \u201cso it may help you to simply be aware that postdrome is part of the migraine episode itself, and will pass.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You wake up tired, achy, and irritable, with a dull pain in your head and an overall feeling that you\u2019ve been hit by a truck. (Ouch!) Sounds like a hangover, right? Except you didn\u2019t have anything to drink last night\u2014because you had a raging migraine instead. Welcome to the migraine postdrome phase, sometimes called a [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":10090,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[4316,808],"coauthors":[8860],"class_list":["post-4457","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-migraine","tag-pain-management","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>What to expect from a migraine hangover (and how to get rid of it)<\/title>\n<meta name=\"description\" content=\"The migraine postdrome starts after the headache ends and lasts for a day or so. 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