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Migraine Headache Treatment

Self-Care at Home

Most migraineurs can manage mild-to-moderate attacks at home with the following strategies:

• Using a cold compress to the area of pain
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• Resting with pillows comfortably supporting the head or neck
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• Resting in a room with little or no sensory stimulation (light, sound, odors)
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• Withdrawing from stressful surroundings
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• Sleeping
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• Drinking a moderate amount of caffeine
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• Trying certain over-the-counter headache medications
  
  
  • Nonsteroidal anti-inflammatory drugs (NSAIDS): These include medications like aspirin, ibuprofen (Motrin, Advil), naproxen (Naprosyn, Aleve), and ketoprofen (Orudis). Stomach ulcers and bleeding are serious potential side effects. This type of medication should not be taken by anyone with a history of stomach bleeding. A doctor or pharmacist should be asked about possible medicine interactions if the migraineur is taking other drugs.
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  • Acetaminophen (Tylenol): Acetaminophen may be safely taken with NSAIDs for an additive effect. Taking acetaminophen by itself is usually safe, even with a history of stomach ulcers or bleeding. Acetaminophen should not be taken if the migraineur has liver problems or has 3 or more alcohol drinks a day.
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  • Combination medications: Some over-the-counter pain relievers have been approved for use with migraine. These include Excedrin Migraine, which contains acetaminophen and aspirin combined with caffeine. A similar effect can be achieved by taking 2 aspirin or acetaminophen tablets with a cup of black coffee.