Taming the Beast: Effective Strategies for Acute Migraine Relief
Published: Jun 06, 2024
When a migraine strikes, quick and effective relief is crucial. Let's explore the most up-to-date approaches for taming acute migraine attacks.
Contents
The First Line of Defense
For mild to moderate migraines, over-the-counter pain relievers can be effective. NSAIDs like ibuprofen or naproxen, or acetaminophen, are often the first choice. These work best when taken early in the attack. For some people, combining an NSAID with caffeine can boost effectiveness.
The Migraine-Specific Medications
For moderate to severe migraines, or when simple painkillers don't cut it, triptans are often the go-to treatment. These drugs work by targeting specific brain receptors involved in migraine. They come in various forms including pills, nasal sprays, and injections. Another class of drugs called CGRP antagonists (gepants) offer a newer option for acute treatment.

Dealing with Nausea
Nausea is a common and distressing migraine symptom. Antiemetic medications can help relieve nausea and may even help with the headache itself. Some, like metoclopramide or prochlorperazine, can be particularly effective when combined with other migraine treatments.
Alternative Approaches
Some people find relief with non-drug approaches. These can include applying cold or hot packs, resting in a dark quiet room, or using relaxation techniques. Newer options like neuromodulation devices, which use electrical or magnetic stimulation, show promise for some patients.
Frequently Asked Questions
Most people experience relief within 2 hours.
Yes, it's often more effective than either alone.
Consult a headache specialist for personalized treatment.
Yes, overuse can lead to medication overuse headaches.
Some are safe, but always consult your doctor first.
Key Takeaways
Effective acute migraine treatment often involves a combination of strategies tailored to the individual.
Want to create your personalized migraine action plan? Let's chat with Doctronic about your options.
References
- Marmura MJ, Silberstein SD, Schwedt TJ. The acute treatment of migraine in adults: the american headache society evidence assessment of migraine pharmacotherapies. Headache 2015; 55:3.
- Becker WJ. Acute Migraine Treatment in Adults. Headache 2015; 55:778.
- VanderPluym JH, Halker Singh RB, Urtecho M, et al. Acute Treatments for Episodic Migraine in Adults: A Systematic Review and Meta-analysis. JAMA 2021; 325:2357.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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