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Beta blockers have been deemed effective options for the prevention of migraines. In particular, metoprolol, timolol and propranolol have the most strength of efficacy. [9] The timeframe to effectiveness in generally within 3 months. [9] Patients with cardiovascular risk factors should avoid the use of beta blockers for migraine prevention. [9]
A migraine attack often causes severe throbbing pain or a pulsing sensation, usually on one side of the head. But migraine attacks are complex, and not everyone will have the same set of symptoms.
Rescue treatment involves acute symptomatic control with medication. [4] Recommendations for rescue therapy of migraine include: (1) migraine-specific agents such as triptans, CGRP antagonists, or ditans for patients with severe headaches or for headaches that respond poorly to analgesics, (2) non-oral (typically nasal or injection) route of administration for patients with vomiting, (3) avoid ...
In testing, gabapentin was found to reduce the number of headache days a month by 9.1%. [13] Tizanidine was found to decrease the average frequency of headaches per week, the headache intensity, and the mean headache duration. [15] Through studies, Fluoxetine resulted in better mood ratings and "significant increases in headache-free days". [16]
For many people, sinus pain is not necessarily the picture of migraine that they have in their mind's eye, she says, but migraine attacks do frequently cause sinus pressure and pain.
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