I've had migraine's my entire life, usually between 1-2 debilitating ones every year. I currently am prescribed preventatives I take on a normal basis. Mine personally became to intense that I ended up getting medical botox injections in my head to deaden the nerves due to the amount of pain. As when I was 14 I had one that had me in a blackout (Coma) for 3 days, Ive been treating them ever since.
Medically, I said get fully evaluated. Most chronic migraine sufferer's are on diet's and don't eat specific foods, as they can trigger migraines.
For treatment medicine wise:
First time (light) migraines: Anything with acetaminophen in it (Excedrin Migraine, Bayer Migraine Formula)
Hard hitting Migraine (Light & Sound Sensitivity, Nausea): Advil Migraine and Motrin Migraine (contain Ibuprofen for swelling, which can actually cause pressure in the head, neck and face - may feel like a sinus head ache)
Be very careful using medications with caffeine in them, and drinks with high amounts of caffeine, as they can actually trigger migraines.
Beyond this, for heavy migraine sufferer's you'll need non OTC, prescription based meds. I have used all of the medications in the following list and personally recommend them for suggesting to your doctor for potential treatment as they treat various symptom's and pain types:
1. Axert
2. Frova
3. Maxalt
4. Zomig
5. Relpax
6. Amerge
7. Imitrex (My Favorite)
Here (From web MD) are some foods known to trigger migraines (Be sure to consult a doctor as your personal list maybe more refined):
ese foods have been identified as headache and migraine triggers by some sufferers:
1. Peanuts, peanut butter, other nuts and seeds
2. Pizza
3. Potato chip products
4. Chicken livers and other organ meats
5. Smoked or dried fish
6. Sourdough bread, fresh baked yeast goods (donuts, cakes, homemade breads, and rolls)
7. Bread, crackers, and desserts containing cheese
8. Certain fresh fruits including ripe bananas, citrus fruits, papaya, red plums, raspberries, kiwi, pineapple
9. Dried fruits (figs, raisins, dates)
10. Soups made from meat extracts or bouillon (not homemade broth)
11. Cultured dairy products, sour cream, buttermilk, yogurt
12. Caffeine found in chocolate and cocoa; beverages such as coffee, tea and colas; also found in certain medications
13. Aspartame and other artificial sweeteners
Here are some preventative measures:
Several types of migraine medicines can help prevent the piercing pain of migraines, including:
1. Beta-blockers such as Inderal (propanalol) and Toprol (metoprolol), which relax blood vessels
2. Calcium channel blockers such as Cardizem (dilatizem) and verapamil, which reduce the amount of narrowing (constriction) of the blood vessels
3. Antidepressants such as amitriptyline and nortriptyline -- tricyclic antidepressants which have been shown to be effective in preventing migraines.
4. Anticonvulsants such as Depakote (valproic acid) and Topamax (topiramate)
5. Botox (botulinum toxin), which can be injected in small quantities around the face and scalp; when it works, it can be repeated in 3 months. - This is me (just not every 3 months)
Hope this helps!