17/08/2020
💣Truth bomb- there’s no cure for migraine. That’s right- as a genetic disease, we will never be "cured." However, there is tremendous hope for managing migraine and keeping our attacks in remission. Let’s go over a few of the most common preventives and tips on finding the right one for you!
Believe it or not, CGRP monoclonal antibodies were the first drugs EVER designed specifically for migraine, and they only came to the US market in 2019. These other classes of preventives were originally designed for other conditions, but evidence has proven that they can also effectively treat migraine disease. So when a doctor prescribes an antidepressant, they are not claiming that depression is the cause of your migraine disease or that you are depressed at all. These medications simply are effective in treating multiple conditions.
So who should take a preventive medication? You and your physician should discuss if a preventive makes sense for you. You may want to consider a preventive if: you have more than one migraine attack a week, your acute treatment isn't effective enough, or you are unable to take acute treatments.
So what classification is right for me? Unfortunately, there is not enough research done for your doctor to determine which class of drugs may work most effectively for you. They will consider any pre-exisiting conditions, other medications you take and your lifestyle to determine where to start. It may take quite a bit of trial and error to find an effective medication and dosage. You might even find that a combination of drugs works best.
Remember, as there is no "cure" for migraine, we are focused on progress, not perfection. A treatment plan is deemed successful if you achieve a 50% reduction in frequency and severity of attacks. This is why a migraine diary is crucial to successful management of your treatment!
Do you take a preventive? What has been your experience?