What are the best treatments for hemiplegic migraine with chronic migraine?
Managing both hemiplegic migraine and chronic migraine requires a combination of preventive and acute treatments tailored to your specific needs.
For acute relief during an attack, several options may help:
* NSAIDs like ibuprofen (Advil, Motrin) Show Full Answer
What are the best treatments for hemiplegic migraine with chronic migraine?
Managing both hemiplegic migraine and chronic migraine requires a combination of preventive and acute treatments tailored to your specific needs.
For acute relief during an attack, several options may help:
* NSAIDs like ibuprofen (Advil, Motrin) or naproxen (Aleve)
* Acetaminophen for pain relief
* CGRP antagonists such as ubrogepant (Ubrelvy) or zavegepant nasal spray (Zavzpret)
* Antiemetics to manage nausea
* Nerve-stimulation devices from companies like Cefaly or gammaCore
It's important to take acute medications as soon as symptoms begin for best results.
For prevention, your doctor might recommend:
* CGRP monoclonal antibodies, which have shown effectiveness for chronic migraine
* Topiramate (Topamax), one of the few medications with clinical studies supporting its use for chronic migraine
* Beta-blockers or antidepressants
* Botox injections
* Magnesium supplements
Since hemiplegic migraine can cause temporary paralysis or weakness, some typical migraine medications like triptans may not be recommended. It's crucial to work closely with your neurologist to find a safe and effective treatment plan that addresses both your hemiplegic and chronic migraine symptoms.
Lifestyle changes like tracking triggers, managing stress through cognitive behavioral therapy, and maintaining regular sleep patterns can also help reduce attack frequency.
November 10, 2025
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