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Migraine during pregnancy and lactation.

10 May

Italian researchers from the University of Torino review the literature to see which interventions safely help pregnant women with severe migraines, and find biofeedback and acupuncture worthy of discussion.

Italian researchers at the Dept. of Obstetrics and Gynecology at The University of Torino reviewed the literature to see how migraine headaches are treated during pregnancy, when hormones exacerbate the condition, while many standard drugs are contra-indicated.

The most important drugs for the management of acute attacks (triptans, non steroidal anti-inflammatory drugs, analgesics, antiemetics, ergot derivatives and combination products) are discussed, with analysis of the appropriateness of their use during the 3 trimesters of pregnancy and during lactation, taking into consideration the indications of the Food and Drug Administration and of the American Academy of Pediatrics.

In addition, the review discusses two efficacious, non-pharmacological therapies used for migraine - biofeedback and acupuncture, and includes a predetermined formula of acupoints for the combined treatment of migraine and acute nausea and vomiting. (This article is in Italian).

Citation: Allais G, Bosio A, Mana O, Airola G, Ciochetto D, Terzi MG, De Lorenzo C, Quirico PE, Benedetto C. [Migraine during pregnancy and lactation: treatment of the acute attack and non-pharmacological prophylactic strategies] Minerva Med. 2003 Aug;94(4 Suppl 1):27-38. This email address is being protected from spambots. You need JavaScript enabled to view it.

Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award