![]() Emergency department and inpatient management of status migrainosus and intractable headache. Migraine: Symptoms and causes /diseases-conditions/migraine-headache/symptoms-causes/dxc-20202434 Migraine: Diagnosis and treatment /diseases-conditions/migraine-headache/diagnosis-treatment/treatment/txc-20202474 ![]() Status migrainosus ihs.gov/telebehavioral/includes/themes/newihstheme/display_objects/documents/slides/newihsecho/migrainosus0916.pdf Case studies issue: Status migrainosus /2/case-studies-issue-novemberdecember-2006/ Oxford, England: Oxford University Press /books?id=PAdn6xC3KlAC&pg=PA78&dq=status+migrainosus&hl=en&sa=X&ved=0ahUKEwjQgcqSnbvTAhWCRyYKHc3CC5oQ6AEINjAD Migraine: Manifestations, pathogenesis, and management. Treatment of status migrainosus with oral dexamethasone in an outpatient setting. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Read more: How to avoid a migraine before it happens » Only take migraine pain relievers when you need them.Try stress-relieving techniques such as deep breathing or meditation.If you still can’t get to sleep, ask your doctor about taking a sleep aid. If you can’t sleep at night, try sleep-hygiene techniques.Drink eight or more glasses of water per day to prevent dehydration.Eat small meals throughout the day, so you don’t get hungry.To prevent status migraines, avoid the triggers that set them off. CGRP antagonists such as erenumab (Aimovig).blood pressure medicines, such as metoprolol tartrate (Lopressor), propranolol (Inderal LA, Innopran XL), timolol (Betimol), and verapamil ( Calan, Verelan). ![]() anti-seizure drugs such as topiramate ( Topamax) or valproate (Depakote).antidepressants like amitriptyline (Elavil).Even if you do get a headache, it’s likely to be less severe and shorter if you take one of these drugs. A class of drugs called dopamine receptor antagonists may also help with status migraines.Ī few medicines can help prevent migraine headaches if you take them on a regular basis. The doctors can try a few different migraine drugs until they find one that works for you. You may need to stay in the hospital for one to three days to control your symptoms. People with diabetes may not be able to take steroids as they can cause high blood sugar. Long-term steroid use can cause side effects like weight gain, weakened bones, bone death (necrosis), and trouble sleeping. Your doctor will probably only prescribe steroids for a few days to treat your migraine. One small study found that steroids improved pain in people with status migraines. Hospitals also treat status migraines with steroid medicines such as dexamethasone (Decadron) that you take by mouth. the anti-seizure drug valproate ( Depakote).antinausea medicine such as ondansetron (Zofran) or metoclopramide (Reglan).dihydroergotamine injection or nasal spray.Migraine treatments you might get in the hospital include: There you can get fluids and medicines intravenously. If your pain doesn’t improve or if you become dehydrated, you may need to be treated in a hospital. You might also need an antinausea medicine, which you can take as a suppository. If these medicines don’t work, ask your doctor about trying a stronger pain reliever, such as ketorolac (Toradol). These include triptans, ergots, or nonsteroidal anti-inflammatory drugs. You might first try a traditional migraine medicine. They’ll recommend treatments based on this information. The doctor will look for any health issues or lifestyle factors (such as stress) that might trigger your headaches. People with status migraines should see a primary care doctor or neurologist for treatment. Vomiting can also lead to dehydration and an electrolyte imbalance. Symptoms of a status migraine can be severe enough to disrupt your life. The headache might go away for a few hours, but it keeps coming back. Status migraine symptoms last for longer than 72 hours, even with treatment. Treatments like triptan drugs and pain relievers can often relieve migraine pain and other symptoms. A regular migraine attack usually lasts between 4 and 72 hours. The difference is in the duration and the response to treatment. throbbing pain on one or both sides of your head.Status migraines have the same basic symptoms as a regular migraine:
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