![]() ![]() Some lifestyle changes that can help a person avoid potential triggers and manage their migraine headaches include: There may be certain triggers that exacerbate a person’s symptoms. However, condition awareness and lifestyle changes may help a person reduce the severity of their migraine episodes. Refractory migraine can be difficult to treat. Oral preventive CGRP medications: A doctor may prescribe oral medications such as Qulipta or Nurtec to treat episodic migraine.There are currently four devices with Food and Drug Administration (FDA) approval that target different areas to treat migraine episodes. Neuromodulation : This treatment involves a handheld or implanted device that can regulate activity in the nervous system that contributes to migraine.Anti calcitonin gene-related peptides (CGRP) : A doctor administers these treatments as injections under the skin, with the exception of eptinezumab, which involves an IV infusion.Corticosteroids : A doctor may administer this treatment through an IV line or give it as an oral pill.IV magnesium sulfate: This treatment is suitable for migraine with aura.Dihydroergotamine (DHE): DHE comes in several forms, including a nasal spray, oral pills, and an IV injection.Some other medications that a doctor could consider for the treatment of refractory migraine include: ![]() ![]() Treatment may also involve antiemetics, which can help manage nausea and vomiting. ![]() Standard treatments for migraine involve medications to reduce pain, such as nonsteroidal anti-inflammatory drugs.Ī doctor may also develop a treatment plan to prevent migraine episodes with medications, such as blood pressure medications, antidepressants, or anticonvulsants. If a person’s migraine episodes do not respond to treatment, a doctor may consider their condition to be refractory migraine. The IHS considers a person’s migraine chronic if they experience headaches on 15 or more days per month for 3 months. The criteria also include having at least five headaches lasting 4–72 hours and experiencing either nausea and vomiting or sensitivity to light or sound.
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