In acute therapy during a migraine attack several situations can be differentiated:
- general measures
- treatment if warning signs of a migraine attack occur
- treatment of the migraine attack
- emergency treatment of an attack by a doctor
- measures if the attack lasts longer than 3 days
As with mild migraine attacks you should, if possible, withdraw to a dark room and try to relax.
Medication if warning signs of a migraine attack occur
Many patients know warning signs of migraine attacks. Such symptoms include, for example:
- mood changes and feeling irritable
- Hyperactivity and motivation
- increased appetite, especially towards sweets
- marked yawning
- feeling low
Over one third of all migraine patients show such precursors up to 24 hours before the attack. If you can now tell with certainty that a migraine attack is about to happen you can use one of the following medications:
- 500 mg acetylsalicyclic acid as fizzy drink solution or
- 500 mg naproxen or
- 1.5 mg almotriptan or
- 2.5 mg naratriptan.
If the migraine attacks appear regularly around the time of your your period, you can take the same measures 24 hours before menstruation is expected.
Migraine treatment in severe cases
A severe migraine attack develops if the therapy for a mild migraine attacks is not sufficiently successful. Severe migraine attacks also exist if marked individual or combined aura symptoms exist already at the start of the attack. Severe disability results from long and frequent attacks, significant impact on work or inability to participate in social life.
First line treatment includes selective 5-HT agonists – the triptans. 5-HT is the abbreviation for serotonin, 5-HT agonists activate the serotonin receptors of the body.
You can find an extensive desciption of the different triptans here: triptans