Italian researchers at the Dept. of Obstetrics and Gynecology at The University of Torino reviewed the literature to see how migraine headaches are treated during pregnancy, when hormones exacerbate the condition, while many standard drugs are contra-indicated.
The most important drugs for the management of acute attacks (triptans, non steroidal anti-inflammatory drugs, analgesics, antiemetics, ergot derivatives and combination products) are discussed, with analysis of the appropriateness of their use during the 3 trimesters of pregnancy and during lactation, taking into consideration the indications of the Food and Drug Administration and of the American Academy of Pediatrics.
In addition, the review discusses two efficacious, non-pharmacological therapies used for migraine - biofeedback and acupuncture, and includes a predetermined formula of acupoints for the combined treatment of migraine and acute nausea and vomiting. (This article is in Italian).
Citation: Allais G, Bosio A, Mana O, Airola G, Ciochetto D, Terzi MG, De Lorenzo C, Quirico PE, Benedetto C. [Migraine during pregnancy and lactation: treatment of the acute attack and non-pharmacological prophylactic strategies] Minerva Med. 2003 Aug;94(4 Suppl 1):27-38. firstname.lastname@example.org