Traetment of Migrain
In all cases, rest quietly in the dark, away from any aggressive sound and light can not worsen the crisis. Some gestures, vary from one individual to another, have a significant efficiency: hot or cold shower, bath, relaxation techniques, application of cold bag on his head. In some cases, the patient put on oxygen (between 2 and 6 liters minutes) can see her pain diminished considerably. To be effective, treatment should be taken as soon as possible and at best as the precursors of migraine attack, but after the end of the possible will triptans. Indeed, the aura corresponds to a phase of Vasoconstriction prior to a vasodilation headache. Therefore, absorption too early triptan vasoconstrictors may cause symptoms of ergotism. Initially, the proposed drugs are paracetamol, anti-inflammatory drugs, aspirin, which can be associated Metoclopramide (antiemetic neuroleptic), which improves digestion and absorption can alleviate the nausea.
Analgesics should be taken in case of crisis and not daily, or risk a chronic daily headache (QCC, or headache with drug abuse with addiction to painkillers).
In case of failure of these molecules, derived from ergot or triptans may be introduced: they are specific agonists of serotonin receptors vessel extra-and intra-cranial. Their efficiency is very good, the price of side effects and cons, indications that must be weighed against their therapeutic effect. In case of ultimate need, morphine remains a means of last resort.