Another phase is headache, but not the usual headache. However the sickness is annoying enough and is usually followed by nausea, vomiting, sensitive to light and sound. And last phase is postdrome, when migraine calm. Usually people experience fatigue and pain in the joints.
But there are also people who feel so happy and pleased if the headache has gone. Although occasionally come, migraine is still possible. But there are some therapies that we can do. The easy way we can do is to identify factors and avoid the causes of migraine. If we know it since early, we will be spared from migraine attacks.
Moreover if we have other body problem especially high blood pressure or angina pectoris (chest pain).

In addition, there is a long-term therapy. This therapy is done to prevent repeat attacks and decrease frequency of attacks. Although this therapy needs long time, the result is significant. From the attack seven times a month, can be twice a month. Of course, this therapy can be successful if followed by healthy lifestyle.

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Migraine is not like vertigo or other headaches. Migraine headache causes for each person can vary. There is very sensitive to light, but people in other attacks appear after consuming beverages containing caffeine or during stress. In addition, there are many other causes, such as in head trauma, disruption of blood vessel, tumors or aberration in the eye as other organs.

Bad habits can become the trigger of headache especially migraine headache, for example sleeping too long, seldom to exercise and often to consume high fat. If those habits don’t stop, it’s not only migraine, but also heart disturbances and even stroke will threaten our health.

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“Previously, the FDA has been informed that the triptan combined with SSRIs potentially cause serotonin syndrome. In fact, new findings have found that use of triptan alone (without combination) can cause this syndrome,” said the study author, Offie Soldin, who is a professor Oncology at Georgetown University Medical Center.

Serotonin is a hormone that regulates mood or feelings of someone also related to depression and sense of appetite. National Institutes of Health (NIH) the United States to reveal, serotonin syndrome occurs when neurotransmitter serotonin excessive due to using of multiple drugs that affect serotonin level.

For example, the selective serotonin reuptake inhibitors (SSRIs) are often used in the treatment depression. As for the triptan also increase the availability of serotonin in the body. The symptoms of serotonin syndrome are changes in mood and mental conditions, excessive reflex, muscle cramps, fever, a movement that is not controlled, excessive sweat, nausea or vomiting.

Although this case is rare, the FDA’s Dr. Soldin remind patients to stop consume the migraine medicine if the symptoms worsen.

“If you take the medicine than taste rarity on the muscles, symptoms of mental changes or hyperactive, immediately contact a doctor,” he suggested.

Meanwhile, the neurologist from Providence Hospital and Medical Center in Southfield, Mich, Dr. Bruce Silverman revealed that this finding may pay attention. However, he stressed that it is not contra indication effects of triptan.

Many migraine patients get better with these drugs. The cause of syndrome may from external factors, and this research is still early with the number of findings which are very limited.

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Simple Analgesic is migraine headache medications for attacks that mild to moderate.
Anti inflammation non steroid. These medicines help to treat migraine attacks mild to moderate.
Preparate caffeine. Medicines that contain small amounts of caffeine may be useful in the stadium early migraine.
Derivative ergot. One of the types of drugs most often used to treat common migraine and classic migraine is ergotamin tartrat, a vasokonstriktor to help to overcome extension pain stadium because of migraine headaches.

These migraine headache medications are usually given in the initial phase of migraine attacks. These drugs are usually combined with other drugs to combat nausea and vomiting, when the ergot derivative causes the side effects.

Sumatriptan is the class of latest migraine drugs to treat migraine attack. Work selectively in receptor agonis 5-HT1 and proven effective to control the symptoms of migraine. These drugs can be provided with a variety of ways, namely oral, intra-nasal and with the injection.
Fenotiazin. The medicine is sometimes given by intravenous to control migraine attacks.
Kortikosteroid. Although used to treat migraine attacks, but the drug is still controversial, kortikosteroid sometimes help to delay migraine attacks that do not respond to other treatments.
Analgesic drug. Analgesic drug is given to treat a hard migraine attack. The using of this drug only for the short time if other treatments fail and this analgesic stopped if headaches have cured.

The medicines are given to prevent migraine attacks if headaches occur more than two or three times a month, more than 48 hours and to worsen and cause disability. Migraine headache medications to prevent migraine attacks, such as:
- insulator beta
- insulator calcium channel
- Anti depression trisiklik
- Anti konvulsan
- Serotonin internet
- Monoamin oksidase Enzyme inhibitor

Many drugs used to overcome the migraine attacks that have bad side effects. Important if the use of medicines is provided and supervised by a doctor who knows you and knows your medical history.

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Food and Drink
Beside coffee, soda, tea, and chocolate, monosodium glutamate (MSG) is used in many foods that are sold to become one of many causes of chronic migraine headache.

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Migraine headache diet therapy
Setting nutrition aims to prevent migraine based on:
1. The restriction of food that can trigger migraine
2. Avoid hunger and low glucose in the blood
3. Magnesium supplements. Recommended Migraine headache diet therapy is not consuming food containing Nitrite because it can widen blood vessels. Other food that must be avoided as migraine headache diet such as chocolate, saccharin, caffeine, and MSG. Avoid environments can trigger migraine, such as cigarette smoke, noise and sting smell.

B. Migraine headache cures by pharmacology
Analgetika
Analgetika is substances that reduce the pain without reducing awareness. Derived from the Greek language, an means “without” and algia that means “pain”. Pain is sensoris and emotional feeling uncomfortable and related with disruption or damage to the tissue. Pain can occur because of mechanical stimulus, chemical cause damage to the tissue. The stimulus causes the release of certain substances, called pain mediator. Pain mediator consists of histamin, serotonin, bradikinin, leukotrien, and prostaglandin.
Examples of drugs: Asetaminofen or the more popular name is parasetamol (generic name).

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If migraine headaches treatment above is not done soon, you have to go through a painful phase. Peak phase can take 4 hours to 72 hours can be even longer. During that time, you will not be able to do activities. That’ is why, do the tips above to prevent migraine.

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What should be done when migraine attacks?
When the attack comes, rest in dark place quiet. Compress with ice packs wrapped in the neck and back massage slowly on the skin of the head and location of the pain. Then do breathing to make body and mind become relax, and sleeping moment, when is available drink pain-killer migraine medicines.

For headache, what drugs is given by doctors and suggesting?
Given pain-killer drug (analgetic) that only drink when the headaches attack comes and also provided drugs for the prevention of attacks (Triciclic anti depression, serotonin Enzyme inhibitor, NSAID, Anti-convulsant, Beta -blocker, Calcium channel blocker). Treatment should be done regularly. Its normal after more than two months will shows the results. The using of caffeine or pain-killer excessively would reduce the effects of drugs prevention. The using of pain-killer should be reduced gradually.

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Many doctors who ask a series of blood checkup for thyroid disease, anemia or infection that can cause headaches. Sometimes, it needs brain scan checks such as Computer Tomography Scan (CT scan) or Magnetic Resonance Imaging (MRI). If suspected aneurism of brain blood vessels, it is necessary to check angiogram.

Doing migraine diagnose is not always easy, especially in patients who have symptoms that are not clear. Elektroensefalogram (EEG) conducted to measure activity brain work. EEG is able to identify a brain nerve malfunctions, but can not show exactly the problem of headache causes. Thermography, an experimental technique that is being developed to diagnose headaches and the tool will be a useful clinical tool in the future. In thermography, an infra-red camera will change the temperature of the skin into a color image, or thermogram with a variety of different colors, as a result of the different levels of warming. Skin temperature is affected by the flow of blood. Scientists find thermogram in patients suffering from headache patterns show that hot different very blatant from those who never or rarely experiences headache.

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