Abortive Therapy for Migraine

Comparison Between Preventive and Abortive Migraine Treatments

Migraine is a debilitating neurological disorder that affects millions of individuals worldwide. Treatment strategies generally fall into two categories: preventive therapy and abortive therapy.

What Is Abortive Therapy?

Abortive therapy focuses on stopping migraine attacks once they begin. It is most effective when taken at the onset of symptoms to mitigate pain and associated neurological disturbances.

Common Medications in Abortive Therapy

• Triptans: First-line abortive treatments that target serotonin receptors.
• NSAIDs: Such as ibuprofen and naproxen, help reduce inflammation and pain.
• Ergot Alkaloids: Less commonly used, but effective in some cases.
• Anti-nausea Medications: Frequently prescribed for accompanying nausea and vomiting.

Abortive vs. Preventive Treatment

Preventive therapy aims to reduce the frequency and severity of migraines through medications like beta-blockers, anticonvulsants, and CGRP inhibitors. Abortive treatments, in contrast, act as a rapid-response solution to halt migraines once they have started.

Considerations When Choosing Therapy

• Frequency and intensity of migraines.
• Response to preventive medications.
• Contraindications or side effects of abortive treatments.

Choosing the right therapy should be done in consultation with a healthcare provider.