Medications & Prescription Treatment

Morning Migraines

  • By Jo1950

    A change in time of migraine. Have been waking up to just the migraine headache, nausea and dizziness. Usually I have the auras first so I can take Imitrex, but now being blindsighted by these morning migraines.

    Now having them three times a week. My neuro gave me a muscle relaxer (which is doing nothing) and I am increasing Zonegran and Pamelor every other day.

    I am currently on Zonegran 50 mg and Pamelor 20 mg.

    I am perplexed with the change in timing of these migraines and the frequency too.

    Thank you for reading my post.


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  • By Nancy Harris Bonk Moderator

    Hi Jo,

    I’m sorry to hear you’re having an uptick in migraine attack frequency, that’s very frustrating. It’s not uncommon for our migraine attack patterns and triggers to change over time, I know mine have.

    Many times when we wake with migraine pain it may be due to a sleep issue and you may want to discuss having a sleep study with your doctor. Sleep apnea is not the only problem that can trigger morning migraine attacks. Restless leg syndrome and periodic limb movement disorder are a few other conditions that can contribute to morning migraine attacks. I have both and take tizanidine along with medical cannabis to help with this, which has reduce my morning migraine attacks.

    Keeping a regular sleep schedule is also very helpful in reducing morning migraine attacks. Let me share some information with you on how to get a good nights sleep; and

    Let me know what you think

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  • By Martin

    Have you tried changing your pillow? I have had more pillows than I can remember and each one effects my migraines differently. I am still searching for the perfect pillow but that’s another story. Make sure that your neck is properly supported at night and that your pillow is firm enough to do this.

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  • By Jo1950

    Hi Nancy ~ I do have sleep apnea and sleep with a cpap. Previous studies cites restless legs and limbs but because the recent sleep study did not show this, the new sleep doc would not treat. Thank you for your links. Since I moved, my migraines have invaded my life significantly. I see on the list depression and anxiety, all of which has overwhelmed me after I moved. I also am off my regular sleep hygiene, getting used to the new noises, staying up late and sleeping to long to avoid waking up to experience more anxiety and depression and other times waking up and not being able to get back to sleep, so sleep has been a mess for me lately which I am addressing with my psychiatrist and neurologist. Trying to find the right medicine combo has been a challenge too, so my life has been significantly disrupted.

    So, thru all the disruptions, I have turned to all the wrong foods for comfort which also triggered more migraines, it’s all a cycle now which I have to get myself back on track.

    Sitting here today on day two of a migraine, holding my head in my hands, thinking I have to make some radical changes in my life to get these migraines under control.

    Thank you Nancy and Martin for your insights !!


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