Hypertension triggering Migraine and vice versa?

Health Professional

Full Question:

Do you believe that (very) high blood pressure can trigger a migraine and/or do you believe that a migraine can trigger an episode of (very) high blood pressure? Andrea.


Dear Andrea;

Good question! The answer to both parts of your question is, "Yes." An added note is that, for some people, significant pain can increase blood pressure.

At times, this can create a question about how to best treat a Migraine when the Migraineur's blood pressure is high during the Migraine attack you're treating, but not at other times. Does one treat the Migraine or the high blood pressure? Whenever possible, it's important to know if the blood pressure triggered the Migraine, or if the Migraine is causing the high blood pressure.

As you are bound to know, if blood pressure runs high when you don't have a Migraine and aren't in pain, it's important that it be treated. It's quite helpful that many of the medications used to treat high blood pressure are also excellent Migraine preventives for some people. It's always a bonus when one medication can serve two functions.

Thank you for a great question,
John Claude Krusz and Teri Robert

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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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