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Migraine headaches are a destructive part of life for nearly 11 out of 100 people. During migraine episodes, they can barely function. They curtail daily activities, and all of life seems distorted. Between episodes, they may feel anxious about the next one, and wish for some form of migraine prevention.
Although guaranteed migraine prevention seems to be more a promise than a reality as of the writing of this article, you do have options for treating symptoms, and, better yet, options for possible migraine prevention.
One Size Does Not Fit All
Although migraines seem to run in families, migraine prevention does not always run in the same course. For some migraineurs, prevention is as simple as changing a few habits. For others, migraine prevention seems to require strong medication.
What are the best migraine prevention medicines for you? The ultimate answer must be decided by you and your physician. We offer here a number of medicines for consideration.
Common Over-the-Counter (OTC) Medicines
This is the first line of migraine prevention - beginning at the minimal strength, minimal dosage to see if it will be a solution. Among these migraine prevention medicines are the following.
1. Aspirin in a regimen dose, i.e., tiny 81 mg tablets, commonly called "baby aspirin". For migraine prevention, these would be taken daily, just as they are to reduce risks of heart disease.
2. Ibuprofen such as Motrin, Nuprin, or Advil may be taken occasionally. Your physician will advise as to how often you should take ibuprofen for migraine prevention. People with active stomach ulcers or sensitive stomachs will not want to use ibuprofen, since it has aspirin-like effects. If you take ibuprofen, take it with food to minimize the effect. You should also be aware that ibuprofen has a blood thinning effect that can reduce the effectiveness of some blood pressure medicines and diuretics.
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What is the most important information I should know about diclofenac (Cataflam, Voltaren, Voltaren-XR)?
This medicine can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use diclofenac. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).
Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.
This medicine can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking diclofenac. Older adults may have an even greater risk of these serious gastrointestinal side effects.
Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.
Do not use any other over-the-counter cold, allergy, or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to diclofenac (such as ibuprofen, ketoprofen, or naproxen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin, ibuprofen, ketoprofen, or naproxen.
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Do not drink alcohol while taking diclofenac. Alcohol can increase the risk of stomach bleeding caused by diclofenac.
Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Diclofenac can make your skin more sensitive to sunlight and sunburn may result.
What should I discuss with my healthcare provider before taking diclofenac (Cataflam, Voltaren, Voltaren-XR)?
Taking an NSAID can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).
NSAIDs can also increase your risk of serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects.
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