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Evol Health
MIGRAINES
Can I Get Migraine Treatment Online?
Yes, you can get migraine treatment online. If you have a headache, need urgent care, or want to speak to a provider, you can use the EVOL Health app to connect with a medical provider in minutes — all from home. a EVOL Health provider can assess your symptoms and may be able to send a prescription to your pharmacy depending on the details of your symptoms and history.
Do I Need To See A Doctor To Get Migraine Treatment?
If you have migraines and need medication that is stronger than over-the-counter pain relievers, you will need to see a medical provider.
The type of healthcare provider you need to see for migraine treatment depends on many factors, including:
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Your age
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Your health history
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Other medical conditions that you have
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Other prescription medications that you take
Primary care providers are usually the first stop for people suffering from migraines. In some cases, that is all a patient needs to find relief. Some patients who have more frequent or severe migraines, underlying medical conditions, or other concerns may require treatment by a neurologist, a medical specialist who focuses on treating pain and disorders of the brain and central nervous system. Your primary care provider will refer you to a specialist if there is a need for that.
What Is Used To Treat Migraines?
There are many ways to treat migraines. While migraines are relatively common, they can cause debilitating pain and make it hard to function in daily life. There are no cures, but the following medications can be effective:
Over-The-Counter Pain Relievers
For some, OTC painkillers are effective for managing migraines, especially when they are taken soon after the pain begins. Options include ibuprofen (Motrin, Advil), aspirin, naproxen (Aleve), acetaminophen (Tylenol), and combination medicines like Excedrin, which pair pain relievers with caffeine.
CGRP Antagonists
This type of medicine is newer and targets proteins in the brain that worsen migraine pain. These types of drugs include rimegepant (Nurtect ODT) and ubrogepant (Ubrelvy).​
Triptans
When OTC pain relievers are not effective, triptans may be prescribed for acute migraines. These include medications such as sumatriptan (Imitrex, Sumavel DosePro, Alsuma, and others), eletriptan (Relpax), Naratriptan (Amerge), rizatriptan (Maxalt), almotriptan (Axert), and others. Triptans are not prescribed to people who have or may be at risk for hypertension (high blood pressure).
Anti-Nausea Medications
Sometimes, the worst part about migraine is how nauseous it makes you feel. Antiemetics may be prescribed alone or with other migraine medications to treat nausea and vomiting. These include metoclopramide (Reglan), ondansetron (Zofran), prochlorperazine (Compazine), and promethazine (Phenadoz, Phenergan, Promethegan).
How Can I Prevent Migraines?
A healthcare provider may recommend preventive medication if you experience frequent migraines more than four times per month. These could help reduce the frequency of migraines. Preventive medications for migraine include:
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Beta-blockers (propranolol, timolol, bisoprolol, metoprolol, atenolol, and nadolol)
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Calcium channel blockers (verapamil)
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CGRP monoclonal antibodies (erenumab-aooe, fremanezumab-vfrm, galcanezumab-gnlm, and eptinezumab-jjmr)
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Selective serotonin reuptake inhibitors (SSRIs)
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Tricyclic antidepressants
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Serotonin-norepinephrine reuptake inhibitors (SNRIs)
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Anticonvulsants (piramate, sodium valproate, topiramate, gabapentin)
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Botox injections
Beyond medication, some people may avoid or reduce migraines by learning the things that trigger them and adjusting their lifestyle. Some common migraine triggers include:
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Stress
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Caffeine, alcohol, or other stimulants
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Sleep problems
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Certain foods or food additives
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Hormone changes
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Light sensitivity
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Weather changes
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Dehydration
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Strong fragrances or chemical odors
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Medications
How Does EVOL Health Treat Migraines?
With EVOL Health, you can speak to a primary care provider via the EVOL app. For the right candidates, prescription medications can be given for migraines. A EVOL Health provider will ask you questions about your health, consider your health history, and can even refer you for additional testing if needed.
If you need in-person care or should be seen by an emergency department, a EVOL Health provider will help you determine the best course of action for treatment and relief.
How Can I Get Rid Of A Migraine?
Migraines are a common neurological problem, impacting 1 out of every 7 adults in the United States. While there is no cure, some tips and remedies may work. Everyone is different, and finding the fastest way to get rid of a migraine for you may take some trial and error.
The following are things to try that may help get rid of a migraine:
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Reduce the lighting if you feel a migraine coming on, or rest in a dark room.
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Use a cold compress on your head and neck.
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Stay hydrated since being dehydrated can be a common migraine trigger.
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Take over-the-counter pain relievers or migraine medicine, if you have it.
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Have some caffeine.
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Massage your neck and head to help release tension and induce relaxation.
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Have a plan for managing stress, anxiety, and other common migraine triggers, like weather shifts, loud noises, bright lights, and missed meals.
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Practice deep breathing, mindfulness, or meditation.
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Consider getting acupuncture.
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Address any physical contributors, like teeth grinding or insomnia.
The most important thing to remember when getting rid of a migraine is that treating it at the first sign can help resolve it faster and prevent it from getting a lot worse. Not everyone can completely avoid one when they notice the signs, but some are able to recognize triggers quickly enough that they can intervene.