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Considerations for Women with Migraines During Pregnancy

We often notice valuable discussions taking place within our community forums or Facebook page that we like to highlight as a part of our Headlines. Below is a discussion on managing migraines when pregnant or breasfeeding that we thought our community members would find interesting. Please note that the opinions represented here are solely those of their authors.

As we know, migraines occur more frequently in women than in men, and attack frequency peaks between the ages of 25 and 55 years. Because much of this period of time broadly coincides with a woman’s childbearing years, considering the safety of migraine treatments for women who are pregnant or breastfeeding is extremely important. There are several migraine medications that are not recommended for pregnant women, so it is common that a woman’s treatment regimen will have to be adjusted during pregnancy. We received the following question regarding migraine treatment and pregnancy from one of our community members:

I have a question for all the wonderful people here on migraine.com especially the moms. I’m a 33 years old mom of two awesome kids. We are thinking about adding one more. My question would be what kind of medication could I take during my pregnancy that will be ok for the baby. Right now I jiggle between relpax, treximet and maxalt. The doctor put me on acetaminophen cod 3 and does not help me at all. I am looking for some advice from moms that live with migraine and also had them during pregnancy. I am currently on relpax and treximet, which I understand, are no good while pregnant or nursing but my migraines are severe and debilitating and this is the only thing that works for me. I want to know if anyone with bad migraine took something safe for the baby and if it helped. I am in my first trimester. Any advice is welcome.

Response from our moderator, Tammy Rome

Tammy_sm

There is some new research out on the safety of triptans during pregnancy, but most doctors still advise pregnant women to avoid all pain meds except Tylenol (which we all know do nothing for migraine).   You will probably need to get your OB to consult with your neuro and be assertive on how debilitating the attacks are. Anything you take will be a risk — you just need your doctors to help you evaluate the risk vs. benefits. Take a look at this expert opinion on migraine during pregnancy and share it with your doctors. It might help them come up with a better plan.

Please keep us posted on how you are doing.

Tammy Rome

There are several other unique considerations for women who have migraines. To read more, check out some more of our articles, including the most recent research data suggesting that peripheral nerve blocks are both effective and safe for pregnant women and their unborn children.

If you have migraines and have been pregnant or are planning to be pregnant, please share your story with us in the comments!

Comments

  • marti
    5 years ago

    My oldest daughter is 21 years old, and when I was pregnant my headaches were constant and unbearable. My obstetrician put me on Sedapap, and it brought the pain level way down. I don’t remember any side effects, and my daughter is perfectly normal.

  • hobiegal
    5 years ago

    I’ve been on Fioricet for over 35 years for chronic migraines. I took it frequently during both of my pregnancies since I was on active duty in the Navy. My sons are 26 and 24, and are both healthy. Neither of them has migraines (thank God) and no health issues that appear to be related to My Fioricet use. Hope this helps.

  • jodgo25
    5 years ago

    Hi,
    My name is Jodi and I suffer from severe, daily migraines too. 8 years ago I was in the same boat when I was pregnant with my son. I was absolutely miserable and since my pain levels were so high, my blood pressure raised making things a whole lot worse. So, for my situation…and I stress that this was for my situation, you must consult your doctor to see if this path would be appropriate for you….my doctor put me on Fiorocet. He said it was not great to put me on it and I was terrified to be on it for my son’s safety but I am happy to say that my son is a healthy and normal eight year old.

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