Migraines

Overview

Migraines are recurrent moderate-to-severe headaches — often one-sided, throbbing, lasting 4-72 hours, and worsened by light, sound, or movement. Many people also have nausea, visual aura, or sensory aura before the headache. Triggers include stress, sleep changes, hormones, weather, alcohol, and skipped meals. Clindle treats adult migraines with acute therapy (triptans like sumatriptan, gepants like rimegepant, NSAIDs, antiemetics) and preventive therapy when attacks are frequent (topiramate, propranolol, amitriptyline). For refractory migraines needing Botox or CGRP injectors like erenumab, we refer to a local neurologist.