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J Med Case Rep. Starling AJ. Diagnosis and management of headache in older adults. Mayo Clin Proc. Weatherall MW. The diagnosis and treatment of chronic migraine. Ther Adv Chronic Dis. Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.
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Medications Used to Treat Migraines. Was this page helpful? Thanks for your feedback! Sign Up. These symptoms usually develop gradually and generally come before headache. This, however, is not the case with migraine aura without headache. Symptoms also usually happen before migraine symptoms, like nausea and sensitivity to light and sound, appear.
An aura is an episodic and transient event that evolves over several minutes and generally lasts between five and 60 minutes. Treating migraine aura without headache can be difficult. Others, however, may find that associated symptoms like nausea and sensitivity to light and sound will improve if treated.
There are not a lot of tested medications for this type of migraine. There is nothing with FDA approval in this indication, and the condition is managed on a case-by-case basis..
Some smaller studies and case reports suggest the use of magnesium, aspirin and lamotrigine. For people with prolonged aura, there have been some treatment attempts with intranasal ketamine. These, however, are small studies, and this is very much an off-label use. You may or may not be aware that having migraine with aura with or without headache increases the risk of stroke.
However, it is important to keep in mind that the overall risk is still low. For example, there are about , strokes annually.
Take your medicines exactly as prescribed. Call your doctor or nurse call line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. Don't take medicine for headache pain too often. Talk to your doctor if you are taking medicine more than 2 days a week to stop a headache. Taking too much pain medicine can lead to more headaches. These are called medicine-overuse headaches. To prevent migraines Keep a diary so you can figure out what triggers your auras or headaches.
Avoiding triggers may help you prevent migraines. Record when each aura or headache began, how long it lasted, and what the symptoms were like. Write down any other symptoms you had with the aura.
These may include nausea or sensitivity to bright light or loud noise. Note if the aura or headache occurred near your period. List anything that might have triggered the aura. Triggers may include certain foods chocolate, cheese, wine or odours, smoke, bright light, stress, or lack of sleep. If your doctor has prescribed medicine for your migraines, take it as directed. You may have medicine that you take only when you get a migraine and medicine that you take all the time to help prevent migraines.
If your doctor has prescribed medicine for when you get migraines, take it at the first sign of an aura, unless your doctor has given you other instructions. If your doctor has prescribed medicine to prevent migraines, take it exactly as prescribed. Find healthy ways to deal with stress. Migraines are most common during or right after stressful times. Try finding ways to reduce stress like practicing mindfulness or deep breathing exercises.
Get plenty of sleep and exercise. But be careful to not push yourself too hard during exercise. It may trigger a headache. Eat regular meals, and avoid foods and drinks that often trigger migraines. These include chocolate and alcohol, especially red wine and port. Chemicals used in food, such as aspartame and monosodium glutamate MSG , also can trigger migraines. So can some food additives, such as those found in hot dogs, bacon, cold cuts, aged cheeses, and pickled foods.
Limit caffeine by not drinking too much coffee, tea, or soda.
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