Why You Are Waking Up with a Migraine

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What is the treatment?

Migraine treatment focuses on pain relief and prevention of future migraine attacks.

Treatment for morning migraine may include over-the-counter (OTC) pain relievers, such as ibuprofen and acetaminophen, as the first line of defense.

Prescription medication

If OTC medication doesn’t work, your doctor may prescribe:

  • Triptans. Drugs like sumatriptan (Imitrex, Tosymra) and rizatriptan (Maxalt) aim to block pain receptors in your brain.
  • Nasal sprays or injections. Classified as dihydroergotamines, these drugs affect the blood flow in your brain to try to prevent migraine attacks. Some triptans are also available as a nasal spray.
  • Anti-nausea drugs. These medications treat the symptoms of migraine with aura, which can cause nausea and vomiting.
  • Opioid medications. Doctors sometimes prescribe strong pain-relieving drugs in the opioid family for people whose migraine attacks don’t respond to other drugs. However, these medications have a high potential for misuse. Your doctor will discuss the pros and cons with you.

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