Migraine: Triptans, Prevention & UK Online Doctor
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Migraine is a neurological disorder, not 'just a headache'.
- Triptans (sumatriptan) abort attacks; take at first sign of pain.
- Frequent attacks (>4/month) warrant preventive medication.
- Identifying and avoiding triggers helps many sufferers.
- An online GP can prescribe triptans and preventives.
Migraine features
- Often one-sided, throbbing.
- Moderate to severe pain.
- Worse with movement.
- Nausea/vomiting.
- Light and sound sensitivity.
- Aura (visual disturbance) in ~25%.
- Lasts 4–72 hours.
Triggers
- Stress and stress-relief ('weekend migraine').
- Poor sleep.
- Hormonal changes (menstrual migraine).
- Certain foods (cheese, chocolate, red wine, MSG).
- Caffeine excess or withdrawal.
- Bright/flickering light.
- Dehydration, missed meals.
Acute treatment
- NSAID (ibuprofen, naproxen) at first symptom.
- Triptan (sumatriptan, rizatriptan) if NSAIDs fail.
- Anti-emetic (prochlorperazine, metoclopramide) for nausea.
- Lie in a dark, quiet room.
Prevention
For >4 attacks/month, consider:
- Propranolol or candesartan.
- Topiramate.
- Amitriptyline.
- CGRP inhibitors (specialist).
- Daily riboflavin or magnesium have modest evidence.
Online GP consultation
An online doctor can confirm migraine, prescribe triptans and start preventives — referring to neurology when needed.
Red flags — when to seek urgent help
Call 999 or go to A&E if you experience any of the following:
- First severe headache over 50
- Sudden 'thunderclap' onset
- Headache with fever, neck stiffness or rash
- Progressive symptoms or new neurology
Frequently asked questions
Common questions UK patients ask about migraine.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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