How long should I take this medication….all my life?
Headache preventative therapy should be considered if headaches are > 1 attack per week, if headaches are severe or disabling that results in absence of work, school and social activities or if one is unable to take acute medications to treat their headache. Although migraine…
How can I choose a good prophylactic for my situation?
Deciding on what type of preventive medication to start depends on many factors. The choice of preventive medication needs to be tailored to meet each person’s individual needs. Before deciding on a preventive medication, it is important to discuss your other medical problems with your…
Are there natural products that can help with migraine prevention?
The most commonly used supplements are magnesium, coenzyme Q-10, feverfew, butterbur and riboflavin (Vitamin B1). There are many other herbs and vitamin supplements that are cited on the web, but there are the ones that have the best clinical evidence to support their benefit. The…
My migraines have become more frequent….should I just stop my preventive treatment?
Migraine comes in cycles of good and bad periods. Sometimes there is an obvious reason (less sleep, more stress, a new medication, hormonal changes….) but sometimes it is not that clear why migraines keep coming at an increased pace. If your migraine frequency is rising…
Is acupuncture useful for migraine prevention?
Acupuncture involves fine needles piercing the skin to alleviate pain. The theory is believed to be based on the needle promoting the pain killing chemicals, endorphins to be released and thereby assisting in pain control. There are multiple studies on the use of acupuncture for…
How can I decide whether my preventative treatment is effective?
You have been taking a preventative treatment for 4 months and your follow-up appointment is coming up. How can you tell if you should continue it or not? The following situations are often brought up during the follow-up appointment: The treatment was not well tolerated….
My preventative treatment is not effective. Why?
Such a disappointment… I thought my condition would improve, but I have as many (if not more) migraines as I used to. What is the problem? You didn’t take it long enough. For best results, you have to try the preventative treatment for at least…
Am I going to get addicted to my preventative treatment?
My preventative treatment is really helpful, but I am scared to take it for an extended period of time, because I think it may be bad for me… Many patients are worried about becoming addicted to their preventative treatment, especially when it comes to antidepressants….
Will I have to take a preventative treatment forever?
Most patients are worried about taking treatments for an extended period of time. “Is this treatment toxic for my body? Does it create addiction? Will its effect fade away? What if I get better?” Most of the time, when you take a preventative treatment, it…
Is Botox useful against migraines?
Health Canada approved the use of Botox to treat chronic migraine in the fall of 2011. Their approval was based on 2 scientific studies (called PREEMPT) showing significant benefits from Botox compared to a placebo. Botox (purified botulinum toxin) has been used for a long…
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