The best daily migraine prevention medication will depend on a few different factors, such as the severity and frequency of your migraines, your medical history, and your current medications. The most commonly prescribed daily migraine prevention medications are beta-blockers, calcium channel blockers, anticonvulsants, and antidepressants.
Beta-blockers, such as propranolol and metoprolol, are often used to reduce the frequency and severity of migraine headaches. These medications work by blocking the action of adrenaline on blood vessels, reducing pressure on the nerves that can trigger migraines. Beta-blockers are generally well-tolerated and have few side effects.
Calcium channel blockers, such as verapamil, are used to reduce the frequency and severity of migraine headaches. These medications work by blocking the action of calcium on nerve cells, reducing the excitability of the nerves that can trigger migraines. Calcium channel blockers are generally well-tolerated and have few side effects.
Anticonvulsants, such as topiramate and divalproex, are often used to reduce the frequency and severity of migraine headaches. These medications work by blocking the action of chemicals in the brain that can trigger migraines. Anticonvulsants are generally well-tolerated and have few side effects.
Antidepressants, such as amitriptyline and nortriptyline, are often used to reduce the frequency and severity of migraine headaches. These medications work by blocking the action of chemicals in the brain that can trigger migraines. Antidepressants can also help reduce the depression and anxiety that can accompany migraines. Antidepressants are generally well-tolerated and have few side effects.
Because the best daily migraine prevention medication will depend on your individual needs, it is important to discuss your options with your doctor. Your doctor can help you decide which type of medication is best for you, as well as provide guidance on how to use it safely and effectively.