Triptans, CGRP antibodies, NSAIDs, and other headache medications
Told you’re “refractory” after several failed migraine preventives? A neurologist explains what to re-check first and which evidence-based options are usually still untried.
Magnesium can help prevent migraine, but most people take too little, the wrong form, or quit too soon. Here is the dose, form and timeline I use in clinic.
Pregnant with migraine? A neurologist explains what is safe (acetaminophen, metoclopramide, sometimes sumatriptan), what to avoid, and when a headache means preeclampsia.
When high-flow oxygen fails for cluster headache, the setup is usually wrong before the biology is. A neurologist on masks, flow rates, timing — and what to try when it truly doesn’t work.
A hole in the heart is blamed for migraine with aura more often than the evidence supports. A neurologist explains what the PFO closure trials really showed and who should still consider it.
Blood pressure pills, reflux medicine, hormones and acne drugs can all cause headaches. A neurologist explains which medications to review before you add another painkiller.
Migraine with aura and the pill: why combined hormonal contraceptives carry a real stroke risk, and which birth control options I still recommend.
Heart disease, stroke, or uncontrolled blood pressure can take triptans off the table. Here’s what I reach for instead — and why it still works.
Excedrin Migraine is OTC, so it feels safe to take often. A neurologist explains why the caffeine in it causes rebound headaches faster than plain painkillers do.
Told you can’t take HRT because of migraine with aura? The stroke-risk math in menopause is different than on the pill. Here’s what actually changes the calculation.
