Prescription Drugs Best for Migraine Prevention

Migraines are a severe type of headache. Although sufferers de- scribe migraines differently, many have blurred vision, blind spots, throb- bing head, and stomach upset. Additionally, bright lights and loud noises often make migraines worse. There are many options for treating migraines; however, prevention may be the best option. Along with avoiding migraine triggers, there are several medication options. These therapies can take 2-6 months to show full benefits and may prevent or decrease the number of migraines. Beta-blockers typically used for blood pressure, such as propranolol (Inderal) and timolol (Blocadren), have been shown to be very effec- tive. Others in this category, atenolol (Tenormin), metoprolol (Toprol XL), and nadolol (Corgard), are less effective. Amitriptyline (Elavil), an antidepressant, is also a good choice. Anticonvulsants, divalproex (Depakote), and gabapentin (Neurontin) have shown some degree of effectiveness. Naproxen (Anaproxor Naprosyn) is often effective for migraines associated with menstrual cycles. Lastly, several other blood pressure medications have been evaluated with mixed results. Pro- pranolol and amitriptyline are usually considered the most effective.