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Botox and Migraine: What You Have to Know

June is Nationwide Migraine and Headache Consciousness Month.Medically reviewed by Dr. Rashmi B. Halker Singh

You’ve heard of Botox as a beauty process — however do you know that Botox can be used as a therapy for a number of medical situations, together with migraine illness?

We wished to be taught extra about how Botox can assist with this debilitating illness, so we reached out to Dr. Rashmi B. Halker Singh, a headache neurologist and member of HealthyWomen’s Girls’s Well being Advisory Council who additionally has firsthand expertise with migraine, to see what she has to say.

What’s migraine illness?

Migraine is a neurological, genetic illness that has a posh group of signs, together with head ache, mild and sound sensitivity, nausea, and hassle concentrating. Migraine impacts about a billion folks worldwide — together with one in 5 girls. Although it’s a standard situation, its signs are sometimes underrecognized. Whereas many are accustomed to migraine as a kind of headache, a migraine assault truly has 4 levels: prodrome, aura, headache and postdrome.

To assist consider whether or not recurrent headache assaults could possibly be migraine, Halker Singh recommends utilizing the mnemonic “PIN.”

  • P: Photophobia, the medical time period for mild sensitivity
  • I: Impairment, that means you don’t really feel such as you’re working in your regular cognitive stage
  • N: Nausea

If recurrent complications are accompanied by two out of the three signs outlined by “PIN,” there’s an excellent likelihood that you simply’re experiencing migraine complications — versus different sorts of headache, like stress complications or sinus complications.

What’s Botox and the way can it deal with power migraine?

Botox is a model of botulinum neurotoxin that has been created from the bacterium Clostridium botulinum. Though it’s most well-known for its wrinkle-diminishing talents, Botox remedies may also assist lazy eye, extreme sweating (hyperhidrosis), bladder dysfunction and muscle contractions in addition to power migraine.

Botox has been formally authorized, and controlled, by the Meals and Drug Administration (FDA) as a therapy for migraine since 2010. Consultants nonetheless aren’t precisely certain how Botox helps stop migraine assaults, however the present understanding is that Botox seemingly helps with migraine by stopping ache transmission.

Botox may be very profitable at stopping migraine assaults. Actually, sufferers report that after two botox remedies, their variety of headache days reduces by 50%. A examine within the Journal of Headache and Ache discovered that after the third therapy, folks with power migraine reported lowered headache depth and frequency of headache medicine taken as nicely.

“In medical trials, on common, sufferers expertise 40 hours much less of migraine assaults per 30 days with [Botox], however in my very own private medical observe, I’ve seen responses differ considerably,” Halker Singh stated. She defined that, in individuals who discover Botox useful, responses vary from full reduction to fewer migraine assaults.

Syringes are filled with injection and medical vaccine bottlesiStock.com/5./15 WEST

Who can obtain Botox for migraine?

Botox is a preventive therapy particularly for power migraine, which impacts 3%-5% of the U.S. inhabitants. With a purpose to be identified with power migraine, headache assaults should meet migraine standards. As well as, you will need to expertise any kind of headache 15 days a month, and for no less than eight of these days, your headache assault should both meet migraine standards or be prevented by medicine earlier than it will get to that time. Lastly, this sample have to be steady for no less than three months.

In the event you suppose it’s possible you’ll be a candidate for a power migraine prognosis — and Botox remedy — Halker Singh recommends utilizing a headache diary. “Typically when folks are available in to see me within the clinic, they’re actually excited about discovering therapy and typically what they prioritize is their worst assaults,” Halker Singh defined. “What’s actually useful and necessary to know is what’s taking place on these different days. So a headache diary might be actually useful to make clear as a result of if they’ve any sort of headache on different days, they may have power migraine,” she stated.

As a result of the FDA has authorized botox therapy for power migraine assaults, most insurance coverage corporations will cowl these remedies, however every insurance coverage firm is completely different. Some require you to undergo a course of known as step remedy first, which can embody making an attempt different medicines earlier than approving Botox. It’s necessary to inform your HCP about all of the remedies you’ve tried to allow them to make an knowledgeable choice about one of the best subsequent steps for you.

How are Botox remedies given?

Botox remedies for therapy of migraine include 31 injections, concentrating on seven key muscle teams within the head and neck. Although this will likely appear to be quite a lot of photographs, appointments solely final round 20 minutes, and the skinny needles make the process extra snug, too. Remedies are administered each 12 weeks.

Must you attempt Botox to your migraine illness?

Botox is taken into account a wonderful therapy for power migraine as a result of it’s FDA-approved and customarily well-tolerated. In the event you’re contemplating utilizing Botox to deal with your migraine illness, remember to speak to your HCP about any potential uncomfortable side effects.

The underside line is that Botox might be an efficient therapy for power migraine and has been discovered to enhance sufferers’ high quality of life. In the event you dwell with power migraine, verify along with your healthcare supplier to search out out if Botox is an possibility for you.

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