It is estimated that as many as 30 million Americans suffer from migraine headaches. Specialists say that migraines are frequently underdiagnosed and undertreated. The majority do not get effective preventive treatment that could help avoid a debilitating attack.
New guidelines from the American Headache Society offer seven approaches to avoiding migraines including anti-seizure drugs such as topiramate or divalproex, beta-blockers like metoprolol or timolol or the non-prescription herb butterbur. Other approaches that may be helpful include magnesium, vitamin B 2 and the herb feverfew. Non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen can also be helpful for some people.