Critical Warning Signs During Migraine Treatment

Overview

While migraines are typically manageable with proper treatment, certain warning signs require immediate medical attention. This guide outlines critical symptoms that should not be ignored.

Red Flag Symptoms

Immediate Emergency Signs

• Sudden, severe headache ("thunderclap")
• Loss of consciousness
• Seizures or convulsions
• Confusion or difficulty speaking
• Vision loss or double vision
• Weakness on one side of the body

Concerning Treatment-Related Signs

• Worsening pain despite medication
• New or unusual symptoms
• Medication side effects:
  • Severe nausea or vomiting
  • Chest pain or pressure
  • Difficulty breathing
  • Unusual heart rhythm

When to Contact Your Healthcare Provider

Call 911 if:

• You experience any of the emergency signs listed above
• Your headache follows head trauma
• You have a fever over 102°F (39°C)

Schedule an Urgent Visit if:

• Your usual medications stop working
• Migraines become more frequent or severe
• You develop new triggers
• Side effects from medications persist

Prevention Steps

1. Keep a detailed headache diary
2. Monitor medication usage carefully
3. Document any new symptoms
4. Track treatment effectiveness

Follow-up Care

Regular follow-up with your neurologist is essential for:

• Monitoring treatment effectiveness
• Adjusting medications as needed
• Addressing new concerns promptly
• Preventing medication overuse