When aura symptoms are multiple, they usually follow one another in succession, beginning with visual, then sensory, then aphasic but the reverse and other orders have been noted. Visual aura is the most common type of aura, occurring in over 90% of patients. Aura is characterized by gradual development, duration of each symptom no longer than one hour, a mix of positive and negative features, and complete reversibility. The diagnosis is based on the International Headache Classification Disorders III edition criteria. The pivotal role of cortical spreading depression (CSD) as a mechanism underlying aura has been widely supported by a large body of studies. Aura is a fully reversible focal neurological phenomenon involving visual, sensory, speech, and/or motor symptoms that develops gradually and usually precedes the headache phase. Your GP will discuss this with you.Around 15% to one-third of migraineurs experience aura. Triptans can be taken at the same as painkillers and/or anti-sickness tablets to improve their effectiveness. Everyone reacts differently to each type of triptan. If treatment is not effective or causes unpleasant side effects, your GP may try prescribing a different type of triptan. This is so you can discuss their effectiveness and whether you had any side effects. Your GP will usually recommend having a follow-up appointment once you've finished your first course of treatment. You should not take them more than 10 days per month. Taking too many triptans can lead to medication overuse headache. These side effects are usually mild and improve on their own. Some people also experience nausea, dry mouth and drowsiness. feelings of heaviness in the face, throat, limbs or chest.Triptans are available as tablets, injections and nasal sprays. They're thought to work by reversing the changes in the brain that may cause migraine headaches. Triptan medicines are a specific painkiller for migraine headaches. If over the counter medication is not helping your symptoms, your GP might recommend a triptan and/or anti sickness medication.
They're not any more effective than triptans and painkillers and can cause nausea and medication overuse headache. Opiates like codeine should not be prescribed as a treatment for migraines. Suppositories are capsules that you insert into the anus (back passage). If you can't swallow painkillers because of nausea or vomiting, you should speak to your GP about anti sickness medication or suppository options. You should not take them more than 15 days per month. Taking too many painkillers can lead to medication overuse headache. Soluble painkillers (tablets you dissolve in a glass of water) are a good option because they're absorbed quickly by your body. You shouldn't wait until the headache worsens before taking painkillers as it's often too late for the medication to work. This gives them time to absorb into your bloodstream and ease your symptoms. They tend to be most effective if taken at the first signs of a migraine attack. Many people find that over-the-counter painkillers, like paracetamol, aspirin or ibuprofen, can help to reduce their symptoms.
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