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	<title>General Health Blog &#187; Migraine Headache</title>
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	<link>http://healthnhealth.net</link>
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		<title>Drugs Used in Prevention of Migraine</title>
		<link>http://healthnhealth.net/drugs-used-in-prevention-of-migraine/</link>
		<comments>http://healthnhealth.net/drugs-used-in-prevention-of-migraine/#comments</comments>
		<pubDate>Thu, 01 Jul 2010 00:06:09 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=184</guid>
		<description><![CDATA[There are several drugs that can be used for prophylaxis of migraine headache. Some of the drugs which have efficacy as a preventive agent for migraine but have considerable side effects and are not commonly used. Many of the drugs with efficacy as preventive agent in migraine are not approved by the FDA and some are approved by FDA for prophylaxis of migraine (local rules should always be sought before prescribing a drug for prophylaxis of migraine). Some drugs are not available in some countries and availability is an important factor.</p>

FDA has approved propranolol, timolol, sodium valproate, and topiramate for prophylactic treatment of migraine. Methysergide is also approved by FDA for prophylaxis of migraine, but not available in the United States. There are also many more drugs which shows efficacy in prevention of migraine but not approved by FDA for prophylaxis of migraine.]]></description>
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		<slash:comments>1</slash:comments>
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		<item>
		<title>Prevention of Migraine</title>
		<link>http://healthnhealth.net/prevention-of-migraine/</link>
		<comments>http://healthnhealth.net/prevention-of-migraine/#comments</comments>
		<pubDate>Tue, 18 May 2010 11:29:04 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=175</guid>
		<description><![CDATA[“Prevention is better then cures” and in case of migraine also this is true. But the question is who should be given prophylaxis treatment for migraine?</p>

The right candidates for prophylaxis of migraine are patients with high frequency of migraine headache or if frequency is increasing, if patient is not responding adequately to abortive treatments or if patients are not responding to abortive treatments of migraine are good candidates for prophylaxis treatment of migraine. Clinicians/doctors generally give prophylactic medication for migraine if a patient is getting 5 or more attacks of migraine headache per month. This is a rough guideline, but migraine patients may require prophylaxis with lesser number of acute attacks per month, especially if the attacks are severe.]]></description>
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		<item>
		<title>Complications in Migraine Treatment</title>
		<link>http://healthnhealth.net/complications-in-migraine-treatment/</link>
		<comments>http://healthnhealth.net/complications-in-migraine-treatment/#comments</comments>
		<pubDate>Fri, 30 Apr 2010 11:41:47 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=168</guid>
		<description><![CDATA[Patients of migraine may have certain complications, which may cause problem in treating the patients with migraine headache. The complications that may be present in managing migraine headache are recurrence of headache, poor tolerance to common and acute treatment of migraine, very rapidly developing symptoms of migraine headache. All of these complications can pose a problem in managing patients with migraine.</p>
<strong>What to do if there is recurrence of migraine headache even after treating the patient adequately?</strong>
]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Rapidly Developing Migraine</title>
		<link>http://healthnhealth.net/rapidly-developing-migraine/</link>
		<comments>http://healthnhealth.net/rapidly-developing-migraine/#comments</comments>
		<pubDate>Sat, 24 Apr 2010 00:41:47 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=166</guid>
		<description><![CDATA[Migraine in some patients may develop very rapidly, which need to be managed promptly. The commonly used drugs for management/treatment of migraine may not be effective in case of rapidly developing symptoms of migraine. If a patient is developing symptoms of migraine headache very fast, the treatment should be initiated as early as possible before the symptoms become severe. Prompt administration of correct drugs by correct route of administration is important in managing the patients with rapidly developing migraine.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What to do if Nausea &amp; Vomiting Occurs in Migraine?</title>
		<link>http://healthnhealth.net/what-to-do-if-nausea-vomiting-occurs-in-migraine/</link>
		<comments>http://healthnhealth.net/what-to-do-if-nausea-vomiting-occurs-in-migraine/#comments</comments>
		<pubDate>Thu, 15 Apr 2010 05:16:54 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=162</guid>
		<description><![CDATA[The commonly used medications in management/treatment of migraine headache are generally given by oral route. If early nausea or vomiting occurs while treating the patient with migraine, it may cause some technical difficulty in managing the patients with migraine headache.</p>
The early nausea or early vomiting may be due to the drugs used (as many orally used drugs can cause nausea and/or vomiting as their side effects) for management of migraine. The early nausea and vomiting may not be related to the drugs administered for management of migraine. Nausea and vomiting are also common symptoms of migraine headache. Nausea is a very common side effect of migraine and it occurs in approximately 87% of the patients with migraine. Vomiting is also a common symptom of migraine (vomiting occurs in approximately 56% of patients with migraine), although it is not as common as that of nausea.]]></description>
		<wfw:commentRss>http://healthnhealth.net/what-to-do-if-nausea-vomiting-occurs-in-migraine/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What to do in Menstrual Cycle Related Migraine?</title>
		<link>http://healthnhealth.net/what-to-do-in-menstrual-cycle-related-migraine/</link>
		<comments>http://healthnhealth.net/what-to-do-in-menstrual-cycle-related-migraine/#comments</comments>
		<pubDate>Tue, 13 Apr 2010 17:37:13 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=157</guid>
		<description><![CDATA[Some women may complain of getting headache (may be migraine headache) in relation to menstrual cycle. Management or treatment of these type of migraine in women may be difficult and commonly used drugs for migraine (like NSAIDs, analgesics) may not work in these women, even for mild to moderate migraine headaches where generally NSAIDs and analgesics works well for others. The menstrual cycle related headache (migraine) may be occur during menstrual cycle or just before menstrual cycle starts. </p>
The migraine headache that occurs in relation to menstrual cycles can be managed in two ways, the first and preferred way is to give preventive treatment and the other option is to treat the symptoms as and when the symptoms of migraine headache appear.]]></description>
		<wfw:commentRss>http://healthnhealth.net/what-to-do-in-menstrual-cycle-related-migraine/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What to do if NSAIDs/analgesics fail in Migraine Management?</title>
		<link>http://healthnhealth.net/what-to-do-if-nsaidsanalgesics-fail-in-migraine-management/</link>
		<comments>http://healthnhealth.net/what-to-do-if-nsaidsanalgesics-fail-in-migraine-management/#comments</comments>
		<pubDate>Tue, 09 Mar 2010 11:28:04 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=125</guid>
		<description><![CDATA[It becomes difficult to decide what to do if a particular regimen of treatment of migraine fails. Here are some of the clinical situations when one regimen of migraine management fails and what to do after it fails:

<strong>What to do if common analgesics and commonly used non steroidal anti inflammatory drugs fails in managing migraine?</strong>

In mild to moderate migraine attacks, generally NSAIDs/analgesics are used as first line of management. If commonly used non steroidal anti inflammatory drugs and analgesics like aspirin or paracetamol fails, than there are a few treatment/management options available to a patient with migraine headache and the options are given here:
]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Role of NSAIDs in Migraine Management</title>
		<link>http://healthnhealth.net/role-of-nsaids-in-migraine-management/</link>
		<comments>http://healthnhealth.net/role-of-nsaids-in-migraine-management/#comments</comments>
		<pubDate>Mon, 01 Mar 2010 04:45:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=86</guid>
		<description><![CDATA[NSAIDs or non steroidal anti inflammatory drugs have and play a very important role in treatment/management of migraine headache, especially in mild migraine. Commonly used non steroidal anti inflammatory drugs in migraine are naproxen (at the dose of 220 to 550 mg orally two times a day), ibuprofen (at the dose of 400 mg every 3 to 4 hourly), tolfenamic acid (at the dose of 200 mg, the dose can be repeated after 1 to 2 hours) etc.]]></description>
		<wfw:commentRss>http://healthnhealth.net/role-of-nsaids-in-migraine-management/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Role of Other Drugs (non dopamine agonists) in Migraine Management</title>
		<link>http://healthnhealth.net/role-of-other-drugs-in-migraine-management/</link>
		<comments>http://healthnhealth.net/role-of-other-drugs-in-migraine-management/#comments</comments>
		<pubDate>Sat, 20 Feb 2010 14:29:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=84</guid>
		<description><![CDATA[Here the word “other drugs” means, other than commonly used 5-HT1 agonists, common and simple analgesics (pain relievers), NSAIDs, dopamine antagonists etc. The roles of the other drugs are also very important in management of migraine headache, especially if migraine is not controlled by the commonly used drugs.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Role of Dopamine Antagonists in Migraine Management</title>
		<link>http://healthnhealth.net/role-of-dopamine-antagonists-in-migraine-management/</link>
		<comments>http://healthnhealth.net/role-of-dopamine-antagonists-in-migraine-management/#comments</comments>
		<pubDate>Sat, 13 Feb 2010 14:31:55 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=82</guid>
		<description><![CDATA[Dopamine antagonists have their role in management of migraine headache. The main role of an oral dopamine antagonist is being the role of adjuvant. The common dopamine antagonists which are used in management of migraine are metoclopramide, chlorpromazine and prochlorperazine.]]></description>
		<wfw:commentRss>http://healthnhealth.net/role-of-dopamine-antagonists-in-migraine-management/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Role of Nasal &amp; Parenteral 5-HT1 Agonists in Migraine Management</title>
		<link>http://healthnhealth.net/role-of-nasal-parenteral-5-ht1-agonists-in-migraine-management/</link>
		<comments>http://healthnhealth.net/role-of-nasal-parenteral-5-ht1-agonists-in-migraine-management/#comments</comments>
		<pubDate>Wed, 03 Feb 2010 12:09:28 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=76</guid>
		<description><![CDATA[The nasal (as nasal spray) 5-HT1 agonists, which are available for treatment or management of migraine headache, are dihydroergotamine, sumatriptan, zolmitriptan etc. and parenteral (as injection) 5-HT1 agonists are dihydroergotamine and sumatriptan.]]></description>
		<wfw:commentRss>http://healthnhealth.net/role-of-nasal-parenteral-5-ht1-agonists-in-migraine-management/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Role of Oral 5-HT1 Agonists in Migraine Management</title>
		<link>http://healthnhealth.net/role-of-oral-5-ht1-agonists-in-migraine-management/</link>
		<comments>http://healthnhealth.net/role-of-oral-5-ht1-agonists-in-migraine-management/#comments</comments>
		<pubDate>Fri, 29 Jan 2010 11:35:09 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=69</guid>
		<description><![CDATA[The role of 5-HT1 agonist drugs is very important in management of migraine headache, because stimulation of 5-HT1B/1D receptors can stop an acute migraine attack. 5-HT1B/1D receptor agonists can be selective and non selective type. Ergotamine and dihydro-ergotamine are nonselective5-HT1B/1D receptor agonists, while the triptans are selective 5-HT1B/1D receptor agonists. Sumatriptan, naratriptan, rizatriptan, eletriptan, zolmitriptan, almotriptan, frovatriptan etc. are commonly known as triptans and they are commonly used in treatment of migraine.]]></description>
		<wfw:commentRss>http://healthnhealth.net/role-of-oral-5-ht1-agonists-in-migraine-management/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Management of Acute Migraine Attacks</title>
		<link>http://healthnhealth.net/management-of-acute-migraine-attacks/</link>
		<comments>http://healthnhealth.net/management-of-acute-migraine-attacks/#comments</comments>
		<pubDate>Fri, 22 Jan 2010 15:48:37 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=67</guid>
		<description><![CDATA[The most important aspect of pharmacological (drug) therapy of migraine is the judicious use of the many drugs that are effective in treating migraine. The choice of the drugs (best or optimal regimen) for a given patient depends on a number of factors and the most important of which is the severity of the attack (the severity of migraine is measured or calculated by “The Migraine Disability Assessment Score” or MIDAS).

Mild to moderate migraine attacks can usually be managed by oral agents (simple analgesics, NSAIDs, 5-HT1 (hydroxy tryptamine) Agonists, Dopamine Antagonists and certain other drugs) and the average efficacy rate of these oral anti migraine agents is 50–70%. There may be necessity of parenteral drugs in case of severe attacks of migraine headache.]]></description>
		<wfw:commentRss>http://healthnhealth.net/management-of-acute-migraine-attacks/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Drugs Used in Migraine</title>
		<link>http://healthnhealth.net/drugs-used-in-migraine/</link>
		<comments>http://healthnhealth.net/drugs-used-in-migraine/#comments</comments>
		<pubDate>Mon, 18 Jan 2010 01:48:45 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/drugs-used-in-migraine/</guid>
		<description><![CDATA[There are many drugs available for treatment (management) of migraine, which are effective in aborting attacks of migraine. What is important is the judicious use of these drugs in patients with migraine. There can be many factors (the most important of which is the severity of the attack) which determine the choice of drugs in migraine. Mild migraine attacks can generally be managed by oral agents (the average efficacy rate of oral agents are approximately 50% to 70%), but the severe migraine attacks may require parenteral therapy.

The following drugs are available for treatment of migraine headache:]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Non Drug Management of Migraine</title>
		<link>http://healthnhealth.net/non-drug-management-of-migraine/</link>
		<comments>http://healthnhealth.net/non-drug-management-of-migraine/#comments</comments>
		<pubDate>Sat, 16 Jan 2010 14:32:48 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=64</guid>
		<description><![CDATA[Some patients with migraine headache can be managed with certain non pharmacological (non drug management) approaches. It is always better to manage any disease if it can be managed without need of any medication, as all medicines have some side effects (may be minor and non significant) and some of the side effects may be major, which itself become problematic for the patient. Since some patients of migraine headache can be managed without any medication it is always advisable to try to manage patients with migraine (except patients with acute severe migraine) without any drug. If migraine headache is not very serious all the patients of migraine should be tried with non pharmacological approaches available for management of migraine headache.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>General Principles of Migraine Management</title>
		<link>http://healthnhealth.net/general-principles-of-migraine-management/</link>
		<comments>http://healthnhealth.net/general-principles-of-migraine-management/#comments</comments>
		<pubDate>Wed, 13 Jan 2010 13:17:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=62</guid>
		<description><![CDATA[There are few important aspects for management of migraine headache, which should be kept in mind while treating (managing) a patient with migraine headache. The most important aspect in the management of migraine headache is educating the patient about the reality of migraine headache. It is generally helpful to educate the patient about migraine and to make the patient understand that migraine is an inherited tendency to headache and that migraine can be modified and controlled by lifestyle modifications (adjustments) and medications, but it cannot be eradicated or cured. It is also important to educate the patient that migraine is not associated with serious or life-threatening illnesses, except in some occasions in women who are on oral estrogens or on oral contraceptives.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>How to Asses Severity of Migraine?</title>
		<link>http://healthnhealth.net/how-to-asses-severity-of-migraine/</link>
		<comments>http://healthnhealth.net/how-to-asses-severity-of-migraine/#comments</comments>
		<pubDate>Sat, 02 Jan 2010 16:14:37 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=58</guid>
		<description><![CDATA[After diagnosis of migraine headache is confirmed the assessment of severity of migraine headache is very important. The assessment of severity of migraine headache is generally done by asking the patient to answer a set of questionnaire known as “The Migraine Disability Assessment Score (MIDAS)”. This (The Migraine Disability Assessment Score) is a well-validated, easy-to-use tool which is most commonly used and very practicable.

The following are the MIDAS questionnaire:]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>How Migraine is Diagnosed</title>
		<link>http://healthnhealth.net/how-migraine-is-diagnosed/</link>
		<comments>http://healthnhealth.net/how-migraine-is-diagnosed/#comments</comments>
		<pubDate>Tue, 01 Dec 2009 15:15:02 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>
		<category><![CDATA[Migraine]]></category>
		<category><![CDATA[Photophobia]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=52</guid>
		<description><![CDATA[To diagnose migraine a high index of suspicion is required at the beginning. There are certain characteristic clinical features in migraine headache. In migraine there is an aura (the migraine aura), which makes the patient understand the disease. The migraine aura, consist of visual disturbances with flashing lights or zigzag lines moving across the visual field or sometimes certain neurological symptoms.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Know About Migraine</title>
		<link>http://healthnhealth.net/know-about-migraine/</link>
		<comments>http://healthnhealth.net/know-about-migraine/#comments</comments>
		<pubDate>Fri, 13 Nov 2009 15:14:20 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Migraine Headache]]></category>

		<guid isPermaLink="false">http://healthnhealth.net/?p=39</guid>
		<description><![CDATA[Migraine is a type of primary headache. Primary headache is the type of headache, where headache and associated symptoms occur in the absence of any exogenous cause. Some examples of primary headache are migraine headache, tension-type headache, and cluster headache. Migraine is a very common clinical problem which afflicts approximately 15% of women and 6% of men. Migraine is the second most common cause of headache. Migraine headache is episodic in nature and is associated with certain features such as sensitivity to light, sound, or movement. Light, sound, movements are the activating factors of migraine and these are known as activators (also known as “triggers”). The specialty of migraine is its possibility of identification by a layman by its activators or “triggers”.]]></description>
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