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Although there is no cure, we mentioned there are a few common triggers so trying to prevent a migraine is the best way to avoid having attacks all the time.

Recognise your triggers
The simplest and fastest way to prevent an attack is to try and pinpoint what it is that brings on your migraine and then try to avoid them. This is not always easy because a menstrual related attack cannot be avoided.
In the diary record the following things:
- Time and date of attack
- any warning signs seen (e.g. flashing lights)
- symptoms that occur
- any medication you took
- time attack ended
After a few attacks you should be able to identify what your possible triggers are and then avoiding them will in turn lower your risk.
Take medication and supplements
There are a lot of medications available to people who suffer from migraines regularly and avoiding triggers doesn't work or cant be identified. If you suffer from severe headaches you should seek medical advice to eliminate any more serious problems and to get some form of treatment. There are various medications that can be used to lower your risk of attach such as topiramate which is usually prescribed to help epilepsy suffers but has shown good results in prevention of migraines.
There are also supplements you can take to help lower your risk too such as riboflavin (vitamin B2).
You can get these over the counter but always check with your GP in case it will affect any other medication you may be taking.
Establish regular sleep patterns
Migraines are often triggered by disruptions in sleep, and maintaining a consistent sleep schedule can help reduce the frequency and severity of these headaches.
Our bodies have a natural circadian rhythm, a 24-hour internal clock that regulates sleep-wake cycles. Irregular sleep patterns can disrupt this rhythm, increasing the likelihood of migraines. Aim for 7-9 hours of quality sleep each night. Insufficient sleep or excessive sleep can trigger migraines in some individuals.
Go to bed and wake up at the same times every day, even on weekends and holidays. This consistency helps regulate your body's internal clock and reduces the risk of migraines. If you need to change your sleep schedule, make gradual adjustments by going to bed and waking up 15-30 minutes earlier or later each day until you reach your desired schedule.
Limit caffeine intake and avoid strong odors
Caffeine, while potentially offering relief during the early stages of a migraine by constricting blood vessels, can also be a migraine trigger when consumed excessively or during caffeine withdrawal. To manage caffeine effectively, it's recommended to limit daily intake to a moderate amount, typically around 200-400 milligrams, equivalent to one 8-ounce cup of coffee. Consistency in consumption and gradual reduction, if necessary, can help prevent migraines.
Strong odors, such as perfumes, cleaning products, and certain foods, have been known to trigger migraines in some individuals. Identifying specific odor triggers through a migraine diary is essential. Once identified, minimizing exposure becomes a priority. This may involve avoiding scented products, staying away from environments with prevalent odors, and opting for fragrance-free personal care products. Maintaining good indoor air quality and communicating your odor sensitivities to colleagues or friends in certain settings can also be beneficial.
Prevent menstrual-related migraines
Because these migraine attacks tend to be quite predictable its a bit easier to try and prevent and lower the risk of developing a migraine at this time. As they are hormone related there are two ways to treat/prevent using both hormonal and non-hormonal treatments.
- Non hormonal: NSAID's (non steroid anti inflammatory drugs) are a common type of painkiller used combined with triptans (as discussed earlier). You are usually told to take these tablets 2-4 times a day from about 2 days before your period until your last day
- Hormonal: the contraceptive pill is a common method to help prevent migraines during the menstrual cycle, progesterone only contraceptives (if there is a lack of this hormone as a possible cause) or finally oestrogen patch's. All of these are used as a prevention to lower the risk of an attack because sufferers of menstrual related migraines are at a higher risk of stroke.
See Also: It's Now Possible To Zap Your Migraines Before They Start
Learning to live with migraines is hard-work and they can be severe enough to stop you from working. Its important to seek medical advice if you suffer more than 3 a week to try and find a prevention. Make sure to keep a diary because it will be surprising what could have caused it.
- Photo courtesy of Aimanness Photography by Flickr : www.flickr.com/photos/millervintage/4864917547
- Photo courtesy of Nesster by Flickr : www.flickr.com/photos/nesster/476841054/
- www.webmd.com
- www.migrainetrust.org
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