Best Otc Options For Migraine Patients
- Excedrin Migraine: This best-selling medication arrived on drugstore shelves in the late 20th century it is a mixture of two classic analgesics, aspirin and acetaminophen, plus caffeine.
- Advil and Motrin Migraine: The active ingredient for these two OTC medications is the non-steroidal anti-inflammatory ibuprofen. Patients have a choice of taking tablets or liquid gel capsules.
- Naproxen: This is another non-steroidal anti-inflammatory that is often effective for both pain relief and prevention of migraines. Depending on the treatment plan, a stronger version of Naproxen may be prescribed.
Ongoing pharmaceutical research on the treatment of migraines is introducing new OTC products based on active ingredients different from acetaminophen, aspirin and ibuprofen. OTC medications are not a cure for migraine, and patients should always consult with their physicians before trying out new remedies.
What Are Triptans And How Do They Work
Triptans are prescription medications. Theyre available in both brand-name and generic options in various dosage forms.
Theyre also called serotonin receptor agonists. Serotonin is a neurotransmitter that nerve cells produce. Its found in different nerves all over the body, including the brain.
While the exact cause of migraine attacks is unclear, scientists believe during a migraine attack sensitive nerves become inflamed and blood vessels in the brain expand. This causes pain and other symptoms.
Triptans work by tamping down overactive nerves in the brain caused by a migraine attack. They also help shrink blood vessels back to normal. This helps manage migraine symptoms.
A 2015 research review compared triptans and other migraine treatment options. Researchers found that standard doses of triptans were effective at relieving migraine attacks in
Abortive Therapy For Headaches
How does abortive therapy work?
You take abortive therapy medications early during a headache. Theyre usually used for migraine headaches. These drugs stop the process causing headache pain. They help reduce headache symptoms, such as nausea, vomiting and sensitivity to light and sound.
For best results, take these medicines when you first notice the migraine. If you get a migraine aura , you may need to avoid some of these medications. Talk to your healthcare provider to figure out which medications are right for you.
Can IV drugs help stop a migraine?
Some headaches especially migraines last for more than 24 hours and dont respond to other abortive medications. In these situations, your healthcare provider may recommend you get medication at an infusion site.
This site is usually a set of rooms at a hospital or clinic where people receive IV drugs. A nurse monitors the people receiving infusions. Generally, IV drugs can end the migraine attack, even when other abortive medicines were unsuccessful. You may be at the infusion site for a few hours or a full day, depending on your symptoms.
Can children take abortive therapies?
The FDA has approved some abortive therapies for teenagers but none for younger children. Talk to your childs healthcare provider to figure out the best way to treat headaches.
What abortive therapy headache medicines are available?
Medications that can stop migraine headaches include:
Generic name: Ergot, dihydroergotamine, mesylate
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Medications To Relieve Headache Symptoms
How do symptomatic relief medications work?
These medicines help you find relief from the symptoms that may come with headaches, such as pain, nausea and vomiting. Some of these medicines are available over the counter. Others require a prescription.
Try to avoid:
- Foods, beverages and medications containing caffeine when taking these medications.
- Medications containing barbiturates or narcotics , if possible.
- Medications with aspirin, for young children.
Can a child take medications to relieve headache symptoms?
The U.S. Food and Drug Administration has not approved many of these medications for children. Talk to your healthcare provider if your child has headaches or migraines.
What OTC medications can relieve headache symptoms?
These medications provide relief from headache symptoms, without a prescription:
Generic name: Aspirin
- Brand name: Bayer®, Bufferin®, Ecotrin®.
- Symptoms relieved: Fever and pain.
- Precautions and possible side effects: Heartburn, gastrointestinal bleeding, bronchospasm or constriction that causes narrowing of the airways, anaphylaxis and peptic ulcer. Dont give aspirin to children under 14 years old. It can cause a rare but serious disease called Reyes syndrome.
Generic name: Acetaminophen, paracetamol
- Brand name: Tylenol®.
- Symptoms relieved: Fever and pain.
- Precautions and possible side effects: Changes in blood counts and liver function, but side effects are rare if medication is taken as directed.
Generic name: Ibuprofen
Over The Counter Options May Alleviate Some Severe Migraines

By Kathryn Doyle, Reuters Health
5 Min Read
NEW YORK – Over the counter medications ibuprofen and Excedrin both relieve the pain and symptoms of severe migraines better than placebo, according to a new study.
Researchers reanalyzed data from a clinical trial and found that more than half of the people taking either of the non-prescription drugs reported some relief, though Excedrin containing caffeine performed best.
This is not at all surprising, said lead author Dr. Jerome Goldstein. Combination analgesics have been around for a long, long time and have had a big impact on treating migraine, he told Reuters Health.
Goldstein is director of the San Francisco Clinical Research Center and was paid by Novartis for his work on the trial. His two coauthors, Martin Hagen and Morris Gold, are employed by Novartis Consumer Health, which markets Excedrin.
That medication, a combination of acetaminophen, aspirin and caffeine, is currently recommended only for mild or moderate headaches, as is ibuprofen. Migraine medications like Imitrex, for severe migraine, are only available by prescription in the U.S.
For the analysis, the researchers only looked at data from the 660 severe migraine sufferers in a previous study, most of whom were female and white.
In a diary, participants rated their pain level, nausea, vomiting, sensitivity to light and sound when the migraine attack began and at 15, 30, 45, 60, 90, 120, 180 and 240 minutes after taking their medication.
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Aspirin Acetaminophen And Caffeine
This OTC medication is actually a combination of three ingredients at a fixed dosage. These are:
- acetaminophen
Each of these ingredients has its own mechanism of action, which weve already discussed for aspirin and acetaminophen. What about caffeine?
When you have a headache, blood flow is increased in your brain. Caffeine can cause blood vessels in the brain to constrict , reducing this blood flow. Caffeine also has anti-inflammatory properties and can enhance the effects of aspirin and acetaminophen.
The combination of aspirin, acetaminophen, and caffeine is available OTC in a single dose pill or tablet.
Like the OTC medications that weve already discussed, studies have been performed on the effectiveness of aspirin, acetaminophen, and caffeine. In fact, some studies have found it to be more effective than alone.
Best For Arthritic Pain: Neutrogena Over The Counter Medication For Migraine
The Neutrogena line of medication comes in a pretty wide variety of styles, so you can definitely find one that suits your individual preferences and needs. The Neutrogena Over The Counter Medication For Migraine read the label, is best for a good deal and it is made with good value for money. It works by elevating the bodys overall pain threshold so you feel less pain, and lowers your fever by helping your body eliminate excess heat. Further, it provides great value and it is great for regular strength.
Lastly, the neutrogena over the counter medication for migraine is used to help treat minor aches and pains related to headache, backache, minor arthritis pain, toothache pain due to the common cold, premenstrual and menstrual cramps.
Most buyers found that the medication works for the majority of people, that is the guarantee. And, a few also found that the medication is great for a fever but not for pain. Excedrin Migraine is the best for pain but not for a fever. Also, a few also found that these rapid release gels that produce pain relief in fifteen minutes are a terrific buy. In conclusion, most buyers found the medication is functionally comfort, and no one questions it.
Top Customer Quotes:
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Best Migraine Medicines 2020
That throbbing, aching, overpowering pain emanating from your head isnt just a typical headache its a migraine. If youve ever experienced a migraine, you should know that it can, and most probably will limit what youll be able to get done in a day. Luckily, there are migraine medications that you can easily purchase over the counter for quick and easy relief.
Once you do step into the drugstore and take a look at all the migraine medication they offer, you may find yourself in a dumbfounded situation. Of all the countless options on the shelves, which is the best migraine medicine for you?
Because you deserve something that is effective and fast to relieve your migraine, you should avoid anything that wont work for you. Find out how to choose the best over the counter migraine medicine by following this detailed guide.
Crafting A Holistic Care Plan
If you’re experiencing painful migraines or other types of severe or chronic headaches, see your primary care doctor or a neurologist. They can refer you to a headache specialist for specialized care such as injections.
These tools are just one part of a larger headache strategy.
Lifestyle changes are also key, Dr. Shadbehr says. Getting enough sleep, hydrating and limiting caffeine can all ease headache symptoms. Keeping a migraine diary can also help you and your provider identify your patterns and personal food triggers.
There are individualized treatment plans available to help alleviate chronic headaches and improve your quality of life.
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What Are The Warnings And Precautions With Migraine Medications
In 2006, the FDA warned about combining triptan drugs with selective serotonin reuptake inhibitors and selective norepinephrine reuptake inhibitors . Taking the drugs together could cause an overload of serotonin in the body, causing what is known as the “serotonin syndrome.â Symptoms of this life-threatening condition include a rapid increase in blood pressure, fast heart rate, and increased body temperature.
SSRIs include:
- Azole antifungals such as ketoconazole, fluconazole , itraconazole
The use of topiramate can result in decreased sweating and increased body temperature. This may be especially concerning during hot weather. Wearing light clothes and drinking plenty of fluids while using topiramate during warmer months is very important. A physician should be consulted if body temperature rises.
Serious complications of constipation and new-onset or worsening of pre-existing high blood pressure may occur with the calcitonin-gene related peptide antagonist erenumab .
Treatment For Pregnant And Breastfeeding Women
In general, migraine treatment with medicines should be limited as much as possible when you’re pregnant or breastfeeding.
Instead, trying to identify and avoid potential migraine triggers is often recommended.
If medicine is essential, your GP may prescribe you a low-dose painkiller, such as paracetamol.
In some cases, anti-inflammatory medicine or triptans may be prescribed.
Speak to a GP or your midwife before taking medicine when you’re pregnant or breastfeeding.
Page last reviewed: 10 May 2019 Next review due: 10 May 2022
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Are Your Otc Medicines Really Working For You
Migraine medication routines can often become an automatic habit we never stop to think about, even if theyre not truly bringing relief. Were often more focused on day-to-day solutions and simply getting through the week, rather than assessing why theres so much pain in our lives. Ask yourself these questions about your over-the-counter medication use:
- Are your symptoms relieved or improved with your medication? Your go-to medication should bring relief.
- Are you taking more medicine to get the same results as in the past? You may be at risk of rebound headache syndrome, in which the overuse of medication creates a dependency. Its thought that the brain learns to crave the medicine and gets headaches as a withdrawal symptom. Rebound adds another layer of headaches on top of your already-existing migraine disease and needs to be avoided.
- Tip: If you are taking pain relief medication 10 or more days each month, thats too much.
Which Migraine Medications Are Safe To Use During Pregnancy

Migraine headaches may become less frequent during pregnancy. However, in rare cases, migraines may appear for the first time during pregnancy or become worse. Non-drug therapies are considered to be safer during pregnancy, they should be tried first. Non-drug therapies such as relaxation, sleep, massage, ice packs, and lifestyle changes are considered first-line options during pregnancy.
If drug treatment is required, acetaminophen is usually the treatment of choice. When used appropriately, acetaminophen treatment does not affect the pregnancy or the unborn baby.
Nonsteroidal anti-inflammatory drugs are considered second-line options and thought to be safest in the second trimester. They should not be used near the time of birth. Opioids are third-line options. Prolonged use of opioids may cause addiction and dependence in mothers and children.
Triptans are reserved for moderate-to-severe symptoms in women who have failed to adequately respond to other treatments. Sumatriptan is the oldest and most studied triptan in pregnancy. A pregnancy registry for sumatriptan did not find an increased risk of birth defects or miscarriage in 600 patients who were treated with sumatriptan during pregnancy.
Ergotamines should not be used during pregnancy as they may potentially induce hypertonic uterine contractions and vasospasms/vasoconstrictions which can cause harm to the unborn baby.
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Talk To A Healthcare Provider Online
Use telemedicine to connect to a doctor, heres how:
Answer a few simple questions.
Connect directly to a licensed healthcare provider or schedule an appointment at your convenience. A fee is charged by UpScript.
If a prescription is written, you can pick it up at a local pharmacy you choose.
UpScript§, one of many telemedicine platforms, lets you speak with a healthcare provider to see if UBRELVY is right for you, all from the comfort of your own home.
§Third-party website does not constitute an endorsement or recommendation by AbbVie.
** How To Pick The Best One **
Take This List of Migraine Medications To Your Doctor
1. Copy and paste this entire page, or jot down a few migraine meds that sound right to you.
2. Take this list to your doctor to discuss your options.
3. Experiment . Keeping good records is essential.
Unfortunately finding what works the best can be trial and error. But with the numerous options in this list of migraine medications, you are off to a great start. If you can… start with testing the family of triptans for acute attacks. Then if they don’t work, you can consider these other options.
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Best For Lower Cost: Amazon Basic Care Over The Counter Medication For Migraine
Amazon Basic Care offers a variety of medication for personal choice and yet maintains quality in all the variants. The works great, gave this a try and it is made with propylene glycol. The pain of migraine headaches can disrupt your lifestyle. And, the medication works great, is best for a good deal and it is made with titanium dioxide.
The medication is great for the same thing and it works fast. Most importantly, the amazon basic care over the counter medication for migraine is made for good value, is for lower cost and it is rash.
Almost all customers found that the medication can cause people to feel jittery if they arent used to caffeine. Further, they strongly agree that the medication is easy to swallow and does leave an aftertaste. Moreover, a few also found that this is a generic pain relief caplet for a well known name brand.
Top Customer Quotes:
- Coated caplets treat migraine headache pain caplets are capsule-shaped tablets.
- This has the same two pain reliever ingredients and caffeine.
- Theyre disruptive when you need to stay focused or enjoy the moment.
- This is easy to swallow, so why only three stars ?.
Best For Children: Gencare Generic Healthcare Over The Counter Medication For Migraine
Compared with other medication in this category, the Gencare Generic Healthcare Over The Counter Medication For Migraine has a convenient design. The gencare generic healthcare over the counter medicationfor migraine is great for headaches and it is the same as brand. Join thousands of headache relief customersclick add-to-cart to order your 300 count bottle of gencare extra strength headache relief today. These powerful ingredients arent just for treating headaches and migraines.
The medication is reliable and it is best for body pain. Most importantly, the gencare generic healthcare overthe countermedication formigraine works well for a low price and it is great for children under 12 years. old.
Almost all customers opine that the medication works for chronic pain quite well. Moreover, they strongly agree that the medication is comparable to extra strength excedrin. In addition, a few say that these would be the type of pill that should be coated, but they re generic so they re cheap. In short, the tone of buyers is very positive and we believe that the medication suits the purpose.
Top Customer Quotes:
- This is good as excedrin migraine.
- The Manufacturer says: Our value savings bottle contains 300 easy to swallow caplets.
- This is comparable to excedrin extra strength over thecounter medicine.
- This is a great dupe for excedrin.
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