Migraine Treatment Plan

A migraine is a chronic, genetically determined, neurological disorder that presents as a severe headache that may cause nausea and light-sensitivity. The main goal of migraine treatment is to find a reliable, effective treatment for acute attacks that quickly restores normal function.

False Creek Healthcare’s experienced physicians will work with you to develop a personal Migraine Treatment Plan which will match your treatment to the severity of your headaches and disability.

The program offers a wide range of treatments for mild to severe symptoms including acetaminophen monotherapy, parenteral magnesium and opioid analgesics. The latest emerging therapies such a angiotensin blockade, calcitonin gene-related peptide inhibitors, and melatonin treatments are also available

Diagnostic Tests

If necessary, advanced diagnostic equipment will be used to aid with diagnosis.

CT scans may identify space-occupying lesions, ischemic lesions or SAH.
MRI scans may identify space-occupying lesions or ischemic lesions. MRI scans with gadolinium may demonstrate pachymeningeal enhancement in low-pressure headache.


Treatment

Migraine is a chronic condition. The main goal of treatment is to find a reliable, rapidly effective treatment for acute attacks that restores function. Treatment should be matched to the severity of the patient’s headache and disability.

The following treatment options are available:

Mild to Moderate Symptoms:
• NSAIDs or aspirin
• Acetaminophen monotherapy
• Aspirin/acetaminophen/caffeine

Severe Symptoms:
• Triptan
• Parenteral Magnesium
• Phenothiazines
• Ergot alkaloids
• Acetaminophen/dichloralphenazone/isometheptene
• Opioid analgesics
• Corticosteroids
• Butalbital-containing compounds

Emerging Therapies

The latest migraine treatments are also available.
• Calcitonin gene-related peptide (CGRP) inhibitors
• Melatonin
• Mirtazapine
• Angiotensin blockade
• OnabotulinumtoxinA (formerly known as botulinum toxin type A)

After Treatment

You will be monitored regularly to assess your disability and treatment needs, which may vary over time. Your doctor may ask you to keep a headache diary or calendar to assess headache frequency and medication use. Follow up visits usually occur once a year for uncomplicated patients or more frequently if you are troubled by ongoing headaches.


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