When should Migraine preventives be considered?

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    I currently have about 8 or 9 migraines a month. My doctor says to just take the Relpax he prescribes because it usually works. Shouldn't I be considering preventives as well? I'm tired of losing half a day or more so many times a month, and it seems that it would be healthier not to have as many migraines in the first place. Thanks for your input, Allison.

     

     

    Answer:

     

    Dear Allison;

     

    You are quite right. Anyone who has more than three Migraines a month needs to be taking something for prevention. There's growing evidence that Migraine is a progressive brain disease. A recent study showed that Migraines can cause brain damage, and that people with three or more Migraines a month are more susceptible to this damage. For more information, see Is Migraine a Progressive Brain Disease? and Yes, Migraines Can Cause Brain Damage.

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    If your doctor isn’t able or willing to help you with this, it may well be time to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.

     

    Good luck,
    John Claude Krusz and Teri Robert

     

     

    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.

     

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    Last updated January 26, 2009.

     

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Published On: January 26, 2009