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About Migraine

A migraine is a headache disorder that generally affects one side of the head and causes intense pain. These throbbing, severe headaches are usually accompanied by nausea and vomiting. They may also cause acute sensitivity to light and sound. Migraine headache episodes can last anywhere from hours to days, and the pain might be severe enough to prevent you from going about your normal activities.

A warning sign (known as an aura) may appear before or with the headache. Symptoms of a migraine aura include visual phenomena, such as flashes of light or blind patches, a tingling sensation on one side of the body, or trouble speaking.

Migraine Symptoms

Migraines are broken into four stages - also known as phases - that correspond with various symptoms. Not everyone who experiences migraines experiences all four phases. Every migraine episode is different and may vary in severity. The four stages of migraine are detailed below.

This preliminary stage - also known as preheadache - may last for several hours or days prior to the migraine. You may experience symptoms such as:

  • Mood changes
  • Difficulty concentrating
  • Nausea
  • Fatigue
  • Frequent yawning
  • Muscle stiffness
  • Increased urination

An aura may occur before or during a migraine and may last for 5-60 minutes. Most individuals do not experience an aura, or, if they do, it occurs simultaneously with the headache. Common symptoms of the aura stage include:

  • Visual phenomena such as bright spots, flashing lights, or blind spots in your vision
  • Tingling or needling sensations in your arms or legs
  • Facial pain or weakness
  • Difficulty with speech
  • Tinnitus (ringing in the ears)

The headache symptoms of migraines usually last for 4 to 72 hours. The severity of these symptoms will vary from person to person and attack to attack, but common effects include:

  • Pain on one or both sides of the head
  • Sensitivity to light, sound, and smell
  • Nausea and vomiting
  • Loss of appetite
  • Fatigue
  • Dizziness or blurred vision

Also known as a migraine hangover, the post-drome stage begins after the major symptoms of the headache attack have dissipated. Common feelings associated with the post-drome stage include:

  • Fatigue
  • Difficulty concentrating
  • Feelings of depression
  • Feelings of euphoria or elation
  • Recurring pain after sudden head movements

Migraine Causes

There is no singular cause of migraines. Neurology researchers continue to study the role that various brain chemicals and hormones play in causing migraines.

Some triggers that may cause a migraine episode include:

  • Hormone changes in women
  • Daily use of pain management medication or headache medication
  • Stress
  • Caffeine use
  • Sensitivity to light or loud sounds
  • Sensitivity to food additives or ingredients (such as aged cheese, nitrates, or alcohol)
  • Changes in weather conditions
  • Exhaustion or physical overexertion
  • Dieting or missing meals
  • Dehydration

This is not a complete list of all triggers. Some migraine patients may experience symptoms without exposure to any of these triggers. Work with your primary care provider or a migraine specialist (such as a neurologist) to help determine what triggers may cause your headaches and craft a treatment plan to reduce your risk of migraine episodes.

Migraine Risk Factors

Just as there is no common cause of migraines, there is also no singular risk factor that determines whether or not you may experience migraines. However, headache specialists and health care providers believe that certain circumstances might make you more at risk for developing migraine headaches.

These risk factors include:

Genetics: 80% of individuals who experience migraines also have a blood relative (such as a parent or sibling) who also experiences this headache disorder.

Sex: According to the Mayo Clinic, women are three times more likely than men to experience migraines. Additionally, hormone changes that occur in women before or after menstruation, as well as those during pregnancy and menopause, can lead to migraine symptoms.

Age: Migraines often peak when an individual is in their mid-30s. Early episodes of migraines may appear in adolescence. As an individual grows older, these symptoms tend to become less severe and frequent.

Common Medication
Treatment Options

Below is a list of common medications used for the treatment of migraines, which can be prescribed to you by a doctor or provider.

Note that all prescriptions are at your provider's discretion.

Migraines can cause extreme pain and serious disruption to your daily functions. Luckily, there are several options that help treat and prevent migraines including:

Provider specialty
Provider gender


New patients seeking treatment for migraines should seek care from a primary care physician. During this preliminary consultation, you may be asked about your medical history, as well as any allergies or sensitivities you may have, and any medication you may be currently taking.

After this, your provider will likely ask you about your symptoms and your history of headaches. This may help determine the cause of the headaches.

Finally, the provider might order diagnostic imaging tests (such as a CT scan) and blood work to rule out any medical causes of your headaches. You may also be asked to take an electroencephalogram test (EEG) to determine whether or not your symptoms may be caused by seizures.

Sesame offers convenient and affordable online doctor visits with licensed health providers across the country. If you have a history of migraines or are noticing the signs and symptoms of migraine headaches, book a visit right away to discuss your condition with a doctor.

Online doctor visits can be conducted in the comfort and privacy of your own home. During your visit, you will be asked about your symptoms and health history. If your doctor thinks you may be experiencing migraines caused by an underlying condition, they will talk to you about scheduling follow-up testing for a diagnosis. Sesame will reach out to you about next steps and how to schedule the lab test you need.

After your diagnosis, your health care provider will discuss treatment options with you. This may include prescription medication and lifestyle adjustments. If appropriate, your doctor can prescribe medication through Sesame. Depending on the medication, you can have your prescription delivered to your home or ready for same-day pickup at a pharmacy of your choice. Book a visit today to get started on treatment right away.

Yes! Sesame makes it easier than ever to get a new prescription or refill a prescription from the comfort of your own home! To discuss a new online prescription or refill, book a video visit with a doctor or nurse on Sesame to discuss a new online prescription or refill. Clinicians on Sesame can prescribe drugs that help treat migraine headaches.

Note that providers on Sesame cannot prescribe controlled substances.

Book a video visit on based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. Browse services on Sesame, set up an appointment with a real doctor at your convenience, and get the care you need.

Booking an appointment with a doctor or nurse online is typically the fastest way to get a prescription! Sesame offers same-day online doctor prescription and prescription refill appointments with board-certified healthcare professionals. If deemed clinically necessary, Sesame providers can provide prescriptions and prescription refills for most non-controlled substances. They can also provide you with a doctor’s note if necessary.

Most online prescription and prescription refill appointments take around 15 minutes, and providers are able to send a prescription to a pharmacy of your choice right after your appointment.

Sesame offers online prescription and refill services at affordable prices, starting at just $34. If a new prescription is determined necessary by a provider, clinicians on Sesame can prescribe medication that helps treat blood pressure, infections, allergies, cholesterol problems, thyroid conditions, and more!

Yep! If you request a prescription transfer, you can easily move your prescription from one pharmacy to another. Plus, many pharmacies now offer mail services for home delivery. Here's how to request a prescription refill at a different pharmacy:

1) Call your new preferred pharmacy to request a transfer.

2) Provide that pharmacy with health insurance/ prescription info

3) Wait for the prescription to be transferred before you pick it up. It usually takes pharmacies a few days to transfer a prescription, but you will get a notification once this step has been completed. Either go pick up your prescription in person or set up home delivery.

If you need a prescription refill, book a visit with a real, quality doctor on Sesame today. Doctors on Sesame can refill prescriptions for high blood pressure, birth control, allergies, and more! Save up to 60% on your prescription refill visit when you book with Sesame.

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