Migraine and Pregnancy checklist
Here’s a checklist related to pregnancy and migraine:
- Up to 80% report improvement of migraine in later pregnancy (after 13 weeks)
- Worsening of migraine can occur in early pregnancy, and may be associated with vomiting of pregnancy
- A first migraine often occurs in the weeks after delivery, but a new onset severe headache just after delivery should be assessed by your midwife or doctor
- About 50% of women will have a migraine return in the month after delivery
- YOU CANNOT USE TRIPTAN DRUGS IF YOU ARE PREGNANT
- The preventative drugs sodium valproate and topiramate should not be used if planning a baby or in early pregnancy as they are associated with an increased risk of birth defects
- Aspirin (painkiller)
- Paracetamol (painkiller)
- Cyclizine (anti-sickness)
- Propranolol in some circumstances, but may reduce blood flow to the womb or reduce baby’s blood sugar if used close to delivery
Some medicines can be used in pregnancy, but only after consulting your doctor. There are others but I do not want to post as they should be discussed with your doctor and this site is not a substitute for medical care, it is an information service only.
The main thing is that you have a good routine and look after yourself - old fashioned advice - remember that the following will help
- A good sleep pattern
- Keep hydrated - a cup of water every hour while awake
- Regular exercise, like walking 2-3 miles three times per week
- Avoiding obesity, and keeping weight down (difficult when you are pregnant I accept )
- Stress avoidance and biofeedback
Good luck with your pregnancy.
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