Complications in Migraine Treatment

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.

What to do if there is recurrence of migraine headache even after treating the patient adequately?

If patients of migraine develop recurrence of headache even after treating the migraine headache adequately with commonly used regimens, than the regimen of treatment has to be changed. Recurrence of headache can be a difficult problem for the patient to deal. In case of recurrence of migraine headache the drugs used are ergotamine 2 mg (this is most effective if used per rectally and generally along with caffeine), naratriptan (at the dose of 2.5 mg orally), almotriptan (at the dose of 12.5 mg orally), eletriptan (at the dose of 40 mg as oral tablet) etc. Any of these can be used if there is recurrence of headache in patients of migraine.

What to do if the patient of migraine can not tolerate treatment properly?

Sometimes patients can not tolerate routinely used treatment regimens (of migraine headache) properly or tolerate treatment poorly. The problem of tolerance of treatment can pose a big problem for the treating doctor as well as the patient and makes management of the patient very difficult and complicated. In case of poor tolerance or non tolerance of the commonly prescribed treatment regimens for migraine the drugs commonly used for treatment of migraine needs to be changed. Generally better tolerating triptans like almotriptan, naratriptan etc. are used in such cases. The dose of naratriptan is 2.5 mg tablet taken once a day and that of almotriptan is 12.5 mgs per day orally.