Headache and migraine Archive

Red wine headaches are a common phenomenon. Scientists believe they're due to a flavonoid called quercetin, which may block a key enzyme that breaks down alcohol in the liver and allows the buildup of a chemical called acetaldehyde that can trigger headaches.

Two kinds of migraine involve visual disturbances, such as strange, flickering light patterns. One type is migraine with aura, caused by brain activity. The other is ocular migraine, caused by blood vessel problems in the eye. The attacks may or may not be accompanied by a headache. Drugs called triptans might help soothe migraine with aura. Doctors don't have a way to stop an ocular migraine attack as it's occurring. For many people, the only way to cope is resting and waiting until the symptoms go away.

Headaches happen to people every day, and about 4% of Americans report being bothered a great deal by them in the past three months. Only a tiny percentage of headaches indicate a serious underlying problem. Red-flag signs include headaches occurring with other symptoms; new headaches in people over 50; headaches that get worse with exercise, sex, coughing, or lying down; and "thunderclap" headaches that involve rapidly worsening head pain. People experiencing these signs should seek prompt medical attention.

A 2024 analysis of 137 studies involving almost 90,000 people found that older drugs called triptans are more effective at stopping migraine pain in a moment of agony, compared with newer medications such as ditans and gepants.

Migraine can carry a certain stigma that unfairly marks individuals with the condition. A 2024 study suggested that such stigma might be tied to increased disability and reduced quality of life for people struggling with this debilitating disease. To cope with migraine stigma, it helps to talk to a psychologist or join a migraine support group, educate loved ones, and talk to one's boss regarding accommodations needed to cope with migraine on the job.

Antidepressants influence the way brain chemicals regulate mood and other body functions and behaviors. Examples include selective serotonin reuptake inhibitors, such as fluoxetine (Prozac) and citalopram (Celexa); and serotonin and norepinephrine reuptake inhibitors, such as venlafaxine (Effexor) and duloxetine (Cymbalta). Although the medications are commonly used to treat depression, sometimes they are used to treat other conditions such as insomnia, headaches, gynecological pain, or nerve pain.

Migraines and cardiovascular disease share certain common features, including changes in blood vessels, blood flow, and inflammation. Migraine with aura is linked to an increased risk of stroke, and common migraine drugs called triptans are linked to a higher risk of stroke and heart attack in people at risk for cardiovascular disease. Although both of these risks are extremely small, migraine sufferers with heart-related risks should seek out a personalized approach for treatment and know the warning signs of a stroke.

A 2024 study suggests that younger women with migraines and early menopause symptoms such as hot flashes and night sweats may have higher cardiovascular risks at midlife.