Migraine: Medicines don’t just calm pain and reduce seizures

Soon the end of the puzzle for migraine sufferers? If neurologists don’t have the magic wand that would make their patients’ terrible headaches go away once and for all, they have more and more non-chemical solutions to relieve them. Focus on 5 treatments.

Migraine is like a fire that starts. If you immediately throw a bucket of water on the starting fire, you will have every chance of extinguishing it. If you wait before watering it, it will be too late, the fire will be out of control. “For optimal effectiveness, you must take your treatment at the very beginning of the crisis, therefore recommends Dr Michel Lanteri Minet, neurologist. Today, crisis treatment is based mainly on non-steroidal anti-inflammatory drugs (NSAIDs) and triptans We prefer triptans, except contraindications (especially cardiovascular) NSAIDs should be reserved for severe crises not relieved by triptans.

Overall, these crisis drugs are well tolerated. “The main pitfall, when they are effective, is that the patient may take too much. Not without danger. In high doses, anti-inflammatory drugs, for example, are toxic to the kidneys.”

Sometimes it is necessary to consider a DMARD

Crisis treatment is not always enough. When migraines recur, at too regular intervals (i.e. more than four episodes per month), the doctor may advise his patient to take a background treatment. Even if the drugs aimed at stemming the crisis are effective. “These crisis drugs should not be taken more than two days a week, insists Dr. Lanteri Minet. Beyond this threshold, it is necessary to consider a basic treatment.

So far, these have been antihypertensives, antiepileptics and antidepressants. We have recently been able to count on a new family of migraine medications, the anti-CGRP monoclonal antibodies. They are very effective, even in patients who were in treatment failure. And when you are 30 years old, and you only need one injection per month, instead of having to take pills every day, that is life changing! “

>> And tomorrow? “We are waiting for the gépants and the ditans,” says Dr. Lanteri Minet. These anti-CGRP molecules for the gépants or acting on serotonin receptors for the said would be as effective as the triptans, but without the vasoconstrictor effects. therefore a good alternative for those who do not respond to triptans, or those who cannot take it – people who have had a heart attack, for example. We can hope for their arrival in France by 2023. “

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2/5 – Le biofeedback
This therapy consists of using a device to measure physiological constants. Like muscle tension, which makes migraine worse. Because by knowing how the body reacts, we can in turn modify this stress response, by learning to relax. For migraine, a therapist places electrodes on the muscles of the forehead or trapezius. The patient observes the reactions of his body and understands, over the course of the sessions, how to relax his muscles. After 10 to 20 sessions, the patient can continue alone at home, without a device. With practice, he learns to recognize the signs of stress as soon as they appear.

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3/5 – Cognitive behavioral therapy (CBT)
Here is another tool to take back control of your life, when the migraine is too invasive. The therapist, often a psychologist, will provide tools to replace negative thoughts with more positive ones. It also encourages people to adopt new behaviors. These therapies are very interesting. But it is important to choose a serious therapist to practice them. In other words, do not contact one at random, without first having received feedback from other patients.

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4/5 – L’acupuncture
“Some of our migraine patients have good results with acupuncture,” says Dr. Lanteri Minet. “It worked in people who did not believe it. In their case at least, the success of the technique cannot be blamed. to the placebo effect! ” In the fight that some lead against migraine, no track should be overlooked.

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5/5 – La neurostimulation
They are called Cefaly, GammaCore, or Nerivio. The first is stuck on the forehead, the second on the neck, the third on the arm. All of them send, through electrodes placed on the skin, small electrical stimuli to stimulate the vagus nerve or the trigeminal nerve. The attention of the brain is diverted, the pain reduced. This is called neurostimulation. These small devices, available either in pharmacies or on the Internet, can be used in prevention and during crises. To relieve migraine sufferers, with very few side effects. Only downside: their cost, rather high, and currently not reimbursed by health insurance.


Source: Topsante.com by www.topsante.com.

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