Nocturnal migraines which happen during the night. While the exact mechanisms are still not well understood, this type of migraine may be triggered by changes in neurotransmitters in the brain that occur during the sleep cycle. Neurotransmitters, chemicals that carry nerve signals through the body, help to control sleep, along with many other functions. It is important to discuss treatments for nocturnal migraines with a physician, because this condition can disrupt the ability to get a good night's sleep.
Change Position
Treating a nocturnal migraine as soon as the symptoms occur keeps the condition from getting worse. The National Headache Foundation suggests changing position in bed and elevating the back, shoulders and head. Headaches can occur when blood vessels within the brain dilate and create pressure. Elevating the upper body helps blood flow out of the head and back to the heart.
Elevation can be combined with applications of a cold pack or cold cloth to help reduce pain and inflammation.
Relaxation Therapies
A lack of sleep can trigger migraines. When a nocturnal migraine hits, it is important to try to rest again. To help manage the symptoms of a migraine, MayoClinic.com recommends practicing relaxation techniques.
Deep breathing and medication can be helpful. Many other forms of meditation and relaxation can be learned in yoga classes or through CDs. Using a meditation CD as a guide may be helpful when strong migraine attacks make it difficult to focus.
Caffeine and Indomethacin
A specific type of nocturnal migraine called a hypnic headache repeatedly occurs at the same time of night. It is sometimes referred to as an "alarm clock headache." These headaches can occur three to four times a week or every day. In some cases, the symptoms are relieved by taking indomethacin, an anti inflammatory medication. According to the Michigan Headache and Neurological Institute, 40 to 60 mg of caffeine before bedtime can also help.
Lithium and Flunarizine
Lithium and flunarizine are medications that can help reduce the severity of nocturnal migraines. While these medications can be effective, they also may cause side effects. Side effects include weakness, fever, excessive thirst, dizziness, abnormal heart rate, stomach pain and many others. A physician can go over the benefits and risks and help people make informed decisions.
