When Should Preventative Medication Be Considered for Migraines?

Migraine sufferers often notice a pattern: at first, the headaches occur occasionally, but over time they may become more frequent and intense. If you're experiencing this progression, it may be time to consider preventative treatment. The decision to start preventative therapy can be summarized into three key factors: duration, frequency, and severity.

Duration: When Migraine Episodes Last Longer

One of the signs that preventative treatment may be necessary is when migraine attacks last for extended periods. Specifically, if your migraines frequently last longer than 72 hours, it could indicate that your condition is worsening and may benefit from a more proactive approach.

Frequency: Increasing Number of Migraine Episodes

If you experience migraines more than twice a month for three consecutive months, and you find yourself using acute medications 6 to 8 times a month, this pattern suggests that your migraines are becoming more frequent. In such cases, relying solely on acute treatment may not be the most effective strategy and preventative medication should be considered.

Severity: When Standard Treatments Fall Short

Another critical factor is the severity of the migraines. If over-the-counter or standard prescription medications are either ineffective or difficult to tolerate due to side effects, preventative treatment may offer a better solution. Additionally, if you experience serious warning signs such as migrainous infarction (stroke-like symptoms) or hemiplegic migraines (migraines with temporary paralysis on one side of the body), preventative medication is strongly recommended.

Impact on Daily Life and Treatment Motivation

Even if your migraines don't strictly meet the above criteria, if they are significantly affecting your work, school performance, or overall quality of life, preventative treatment could be beneficial. Likewise, if you have a strong personal motivation to reduce migraine frequency and improve your condition, discussing preventative options with your healthcare provider is a wise step.