Times Colonist

Vicious headaches feel like thundercla­p

“THE EXACT CAUSE OF MIGRAINES IS NOT KNOWN, BUT RESEARCHER­S HAVE A FEW IDEAS. ONE THEORY INVOLVES A THREE-STEP PROCESS.”

- SUBMITTED BY HEART PHARMACY

What causes a migraine and why does it hurt so much? Symptoms of a migraine When should you contact your doctor about your migraine?

reducing the frequency of migraine headaches. Often, people who regularly suffer from migraines tend to have lower amounts of magnesium in their bodies. I tend to recommend up to 500mg of magnesium citrate to help prevent migraine headaches. Side effects are rare, but higher doses of magnesium tend to have a laxative-like effect.

Other side effects include low blood pressure, thirst, fatigue and muscle weakness. There are some possible drug interactio­ns with magnesium, too. Ask your Heart pharmacist if higher doses of magnesium are safe to take with your medication­s.

I feel this option should be seriously considered by anyone who regularly gets migraine headaches. It is thought that low magnesium is a major, unrecogniz­ed health concern. Luckily for my patient, taking extra magnesium reduced her frequency of migraines significan­tly.

Do you have a question for our Heart pharmacist­s? Your question might be featured in this article. Head over to

HeartPharm­acy.com with your questions. Or send your questions to: ask@heartpharm­acy.com step called “prodrome”, the body responds to the triggers by releasing blood vessel constricti­ng substances. This causes reduced blood flow in certain areas of the brain.

It is believed this blood-flow reduction causes the ‘aura’ that is experience­d before a migraine headache attack. The third, or

“headache” step is where your body responds to this reduced blood flow by causing rapid blood vessel dilation. The increased blood flow might cause the pounding sensation that is felt during a migraine.

This is a very simplified version of what is thought to take place. The process of trying to condense an entire theory, which is written in medical science-speak, into real English, makes my head hurt. M igraines hurt. This is gross understate­ment for those who are afflicted by these vicious headaches. I thought about migraines when a patient asked if there were any vitamins that could help. She had tried avoiding all of the migraine-triggering foods – wine, aged cheeses, caffeine withdrawal, chocolate, MSG, shellfish and cow’s milk – with no luck. A few medication­s that could prevent migraines proved ineffectiv­e.

I have a few options that can help with migraines – the best supplement options are magnesium and vitamin B2.

Migraine symptoms are not pleasant. As well as the severe throbbing pain, symptoms may include sensitivit­y to light and/or noise and nausea and/or vomiting. There are some warning signs that should alert you to seek urgent medical attention: • A very sudden headache “thundercla­p” • A headache after a blow to the head • A headache with seemingly unrelated symptoms, such as: numbness, vision changes, slurred speech, unusual confusion or weakness. • A very different type of headache than is usually experience­d • A headache with symptoms of fever, stiff neck, drowsiness, vomiting and confusion. The mineral ‘magnesium’ has shown to be helpful in

The exact cause of migraines is not known, but researcher­s have a few ideas. One theory involves a three-step process. The first step is referred to as

“initiation”. In this step, something begins the migraine chain of events. It could be stress, a food allergy or other trigger. During the second

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