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Friday, July 25, 2008

Migraines and Low Blood Pressure

Harvard Health Publications
2007 Copyright Harvard Health Publications

Question:

When I get migraines, my blood pressure is very low (93/64). Is this normal?

Answer:

Low blood pressure doesn't develop during a typical migraine headache. There have been rare reports of patients with complex neurological conditions whose symptoms included migraines and widely fluctuating blood pressure. However, in most people, the blood pressure will stay the same or even go up during a migraine attack.

Keep in mind that some people will always have "low" blood pressure. A pressure of 93/64 is actually normal, not low. If your blood pressure is usually much higher — say 140/90 — and falls to 90/60 during a headache spell, a medical evaluation is in order.

One other thing to consider is that certain migraine treatments can lower blood pressure, including drugs used to control the nausea that's common during migraine attacks.


James S. Winshall, M.D., is an associate physician at Brigham and Women's Hospital. In addition to his role as senior editor at Harvard Health Publications, Dr. Winshall practices general internal medicine and is an assistant professor at Harvard Medical School.


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Harvard Health Publications Source: from the Harvard Health Publications Family Health Guide, Copyright © 2007 by President and Fellows of Harvard College. All rights reserved.

Used with permission of StayWell.

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