{"id":4475,"date":"2019-06-17T14:31:40","date_gmt":"2019-06-17T18:31:40","guid":{"rendered":"https:\/\/www1.singlecare.com\/blog\/?p=4475"},"modified":"2020-07-15T19:38:19","modified_gmt":"2020-07-15T23:38:19","slug":"talk-doctor-migraine-prescriptions","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/talk-doctor-migraine-prescriptions\/","title":{"rendered":"When to talk to your doctor about a prescription for migraine"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Throbbing, pulsing pain. Sensitivity to light and sound. Nausea and vomiting. If you are one of the <\/span><a href=\"https:\/\/migraine.com\/migraine-statistics\/\"><span style=\"font-weight: 400;\">38 million Americans who experience migraine<\/span><\/a><span style=\"font-weight: 400;\">, you recognize these symptoms. And, you may need a prescription <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/migraine-treatment-and-medications\"><span style=\"font-weight: 400;\">migraine medication<\/span><\/a><span style=\"font-weight: 400;\"> to help.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Who does migraine affect?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Studies estimate that between 10% and 13% of people worldwide live with migraine. In fact, nearly 5 million Americans experience at least one migraine per month, and more than 11 million say that migraine causes a moderate to severe disability.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But the numbers vary greatly by age and sex. <\/span><a href=\"https:\/\/www.ninds.nih.gov\/Disorders\/All-Disorders\/Migraine-Information-Page\"><span style=\"font-weight: 400;\">Women are three times as likely<\/span><\/a><span style=\"font-weight: 400;\"> as men to have migraine. About 20% of women in the U.S. and 9.7% of men experienced a severe headache or migraine in the past three months, according to one study by the <\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/66\/wr\/mm6624a8.htm\"><span style=\"font-weight: 400;\">U.S. Centers for Disease Control and Prevention<\/span><\/a><span style=\"font-weight: 400;\"> (CDC). Reports of recent migraine pain changed with age. For example, 24.7% of women aged 18-44 years old reported having experienced a severe headache or migraine in the last three months. But among women aged 75 and older, the percent of people with recent migraine was only 6.3%.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So what\u2019s a person with migraine to do? If your migraine headaches are frequent, it may be time to seek professional help.<\/span><\/p>\n<h2><b>Migraine medication<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">When you have an ordinary headache, you might reach for an over-the-counter pain reliever such as naproxen, Tylenol, or Advil. Or you might simply drink some water and lie down in a cool, dark, quiet room for a bit. Often, this is not enough to knock out a migraine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While there is no cure for migraine, there are two effective approaches to migraine treatment with medications, according to the National Institute of Neurological Disorders and Stroke at the National Institutes of Health. The first approach is prevention of migraine attacks, and the second is pain relief of migraine symptoms once an attack has occurred.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/ubrelvy-ubrogepant-migraine\/\"><b>Meet Ubrelvy, the new FDA-approved medication that cures migraine<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">Prescription medication for migraine prevention<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">NINDS reports that preventive treatment of migraine involves the use of drugs as well as behavior changes. People who experience frequent migraine headaches should practice stress management techniques, such as exercise, meditation, biofeedback, and other methods of relaxation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to <\/span><a href=\"https:\/\/inhs1.com\/\"><span style=\"font-weight: 400;\">Mahan Chehrenama<\/span><\/a><span style=\"font-weight: 400;\">, MD, a neurologist and migraine specialist in McLean, Virginia, patients should consider preventive medications if their migraine attacks are frequent (more than four to six attacks per month) or severely disabling. \u201cPreventive medications are generally prescription-based, except for certain supplements like magnesium oxide,\u201d she says. \u201cThese preventative drugs might also help patients better respond to pain relieving medications if a migraine does occur.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Preventive medications are taken daily, even when you don\u2019t have a headache. They can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Anticonvulsants, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/topamax\"><span style=\"font-weight: 400;\">Topamax<\/span><\/a><span style=\"font-weight: 400;\"> (topiramate) or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/valproic-acid\"><span style=\"font-weight: 400;\">valproic acid<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tricyclic antidepressants, such as Elavil (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\"><span style=\"font-weight: 400;\">amitriptyline<\/span><\/a><span style=\"font-weight: 400;\">) or Pamelor (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nortriptyline-hcl\"><span style=\"font-weight: 400;\">nortriptyline<\/span><\/a><span style=\"font-weight: 400;\">)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/beta-blockers\"><span style=\"font-weight: 400;\">Beta blockers<\/span><\/a><span style=\"font-weight: 400;\">, such as Lopressor (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metoprolol-hydrochlorothiazide\"><span style=\"font-weight: 400;\">metoprolol<\/span><\/a><span style=\"font-weight: 400;\">) or Inderal (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/propranolol-hcl\"><span style=\"font-weight: 400;\">propranolol<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.singlecare.com\/prescription\/botox\"><span style=\"font-weight: 400;\">Botox<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Calcium channel blockers, such as Cardizem (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/diltiazem-hcl\"><span style=\"font-weight: 400;\">diltiazem<\/span><\/a><span style=\"font-weight: 400;\">) or Calan (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/verapamil-hcl\"><span style=\"font-weight: 400;\">verapamil<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">CGRP inhibitors, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/aimovig\"><span style=\"font-weight: 400;\">Aimovig<\/span><\/a><span style=\"font-weight: 400;\"> (erenumab), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/emgality\"><span style=\"font-weight: 400;\">Emgality<\/span><\/a><span style=\"font-weight: 400;\"> (galcanezumab), or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ajovy\"><span style=\"font-weight: 400;\">Ajovy<\/span><\/a><span style=\"font-weight: 400;\"> (fremanezumab). Vyepti (eptinezumab) has been <\/span><a href=\"https:\/\/www.fda.gov\/drugs\/drug-approvals-and-databases\/drug-trials-snapshots-vyepti\"><span style=\"font-weight: 400;\">approved by the FDA<\/span><\/a><span style=\"font-weight: 400;\">, but is not yet available on the market.\u00a0<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/topamax-for-migraines\/\"><b>Should you take Topamax for your migraines?<\/b><\/a><b>\u00a0<\/b><\/p>\n<h3><span style=\"font-weight: 400;\">Abortive migraine medication<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Almost every patient who seeks medical care for migraine will need an \u201cabortive\u201d migraine prescription. These are medications that are taken at the onset of a migraine to \u201cabort\u201d or stop a migraine attack.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cMost patients who seek medical care regarding their headaches have been unsuccessful in treating them effectively with over the counter non-prescription analgesics,\u201d Dr. Chehrenama says. So if you\u2019ve gone through your pharmacy\u2019s selection of Excedrin and your headache still won\u2019t budge, it\u2019s probably time to ask your doctor for a prescription drug.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some abortive drugs are migraine-specific, like triptans. <\/span><a href=\"https:\/\/headaches.org\/2007\/11\/19\/facts-about-triptans\/\"><span style=\"font-weight: 400;\">Triptans<\/span><\/a><span style=\"font-weight: 400;\"> are a popular class of drugs. They work by stimulating serotonin in the brain, which decreases inflammation and constricts blood vessels, stopping the migraine. Triptans include Axert (almotriptan), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/relpax\"><span style=\"font-weight: 400;\">Relpax<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/eletriptan-hydrobromide\"><span style=\"font-weight: 400;\">eletriptan<\/span><\/a><span style=\"font-weight: 400;\">), Frova (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/frovatriptan-succinate\"><span style=\"font-weight: 400;\">frovatriptan<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amerge\"><span style=\"font-weight: 400;\">Amerge<\/span><\/a><span style=\"font-weight: 400;\"> (naratriptan), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/maxalt\"><span style=\"font-weight: 400;\">Maxalt<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/rizatriptan-benzoate\"><span style=\"font-weight: 400;\">rizatriptan<\/span><\/a><span style=\"font-weight: 400;\">), <\/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\/sumatriptan-succinate\"><span style=\"font-weight: 400;\">sumatriptan<\/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;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zolmitriptan\"><span style=\"font-weight: 400;\">zolmitriptan<\/span><\/a><span style=\"font-weight: 400;\">). Several new drugs were recently approved for acute treatment of migraine: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/reyvow\"><span style=\"font-weight: 400;\">Reyvow<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-treatment-patients-migraine\"><span style=\"font-weight: 400;\">lasmiditan<\/span><\/a><span style=\"font-weight: 400;\">) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ubrelvy\"><span style=\"font-weight: 400;\">Ubrelvy<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-treatment-adults-migraine\"><span style=\"font-weight: 400;\">ubrogepant<\/span><\/a><span style=\"font-weight: 400;\">).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But your doctor might choose to prescribe non-migraine specific abortive meds, like nonsteroidal anti-inflammatory drugs (NSAIDs). He or she will be able to provide you with the best medical advice and prescription based on your specific symptoms, drug administration preferences, and migraine medication side effects.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/ibuprofen-dosage\/\"><b>How much ibuprofen is safe to take?<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf a patient suffers from nausea or vomiting [during migraine], they are less likely to absorb oral meds effectively and commonly will require non-oral formulations of migraine abortive, such as a nasal spray or a subcutaneous injection,\u201d Dr. Chehrenama says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So if you are one of the millions of people in the U.S. living with migraine, talk to your doctor about treatment options.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Throbbing, pulsing pain. Sensitivity to light and sound. Nausea and vomiting. If you are one of the 38 million Americans who experience migraine, you recognize these symptoms. And, you may need a prescription migraine medication to help. Who does migraine affect? Studies estimate that between 10% and 13% of people worldwide live with migraine. In [&hellip;]<\/p>\n","protected":false},"author":69,"featured_media":11092,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[4316],"coauthors":[8859],"class_list":["post-4475","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-migraine","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Do you need prescription-strength migraine medication?<\/title>\n<meta name=\"description\" content=\"Throbbing headache, light sensitivity, nausea. 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