Understanding Your Migraine Medication Options

Acute Medications (For Immediate Relief)

1. Over-the-Counter Options

• NSAIDs
  • Ibuprofen (Advil®, Motrin®)
  • Naproxen (Aleve®)
  • Aspirin
• Acetaminophen (Tylenol®)
• Combination medications (Excedrin® Migraine)

2. Prescription Options

Triptans

• Sumatriptan (Imitrex®)
• Rizatriptan (Maxalt®)
• Zolmitriptan (Zomig®)

Other Classes

• Gepants (Ubrelvy®, Nurtec®)
• Ditans (Reyvow®)
• Anti-nausea medications

Preventive Medications

1. Traditional Preventive Options

• Beta-blockers (propranolol, metoprolol)
• Antidepressants (amitriptyline)
• Anticonvulsants (topiramate)

2. CGRP Antagonists

• Monthly injections
• Oral preventive options

Important Considerations

• Take medications at first sign of migraine
• Follow prescribed dosing schedules
• Keep track of medication use
• Watch for medication overuse headache
• Discuss side effects with your doctor

When to Seek Emergency Care

• Sudden, severe headache
• Headache with fever or stiff neck
• Neurological symptoms lasting >1 hour
• New onset after age 50