#MHAMBC Migraine & Headache Awareness Month #21: Oblivion

June Migraine awareness month

First one must ask what is the definition of Oblivion. Webster Dictionary states this:

1. the fact or condition of forgetting or having forgotten; especially   : the condition of being oblivious

2: the condition or state of being forgotten or unknown

When it comes to the education and awareness of Migraine Disease I’m going with the meaning of the unknown-being Oblivious.

The public in general see’s Migraine Disease as “just a headache” when in fact it is so much more than that. It is a Genetic and Neurological Disease. http://www.ninds.nih.gov/disorders/migraine/migraine.htm

It is in the classification of Headache Disorders but it is more complex and hard to diagnose as there are so many different types of Migraines:

Types of Migraine: from the International Headache Society’s International Classification of Headache Disorders, 2nd Edition:

1.1 Migraine without aura

1.2 Migraine with aura

1.2.1 Typical aura with migraine headache

1.2.2 Typical aura with non-migraine headache

1.2.3 Typical aura without headache

1.2.4 Familial hemiplegic migraine (FHM)

1.2.5 Sporadic hemiplegic migraine

1.2.6 Basilar-type migraine

1.3 Childhood periodic syndromes that are commonly precursors of migraine

1.3.1 Cyclical vomiting

1.3.2 Abdominal migraine

1.3.3 Benign paroxysmal vertigo of childhood

1.4 Retinal migraine 1.5 Complications of migraine

1.5.1 Chronic migraine

1.5.2 Status migrainosus

1.5.3 Persistent aura without infarction

1.5.4 Migrainous infarction

1.5.5 Migraine-triggered seizures

1.6 Probable migraine

1.6.1 Probable migraine without aura

1.6.2 Probable migraine with aura

1.6.5 Probable chronic migraine

 Old school thinking was that Migraines were vascular and cause inflammation. That is far from the truth. After years of research and study they have concluded that Migraines are Neurological and Genetic. In fact Migraines can be life threatening and lead to stroke or death if not treated in time: http://health.usnews.com/health-news/news/articles/2013/01/15/migraine-with-aura-may-raise-risk-of-heart-trouble
But yet people are Oblivious to this scientific backed information. A “regular” Headache cannot give you a stroke or kill you. And the fact it’s Neurological also bears fact that a Migraine attacks the WHOLE body and not just the head. Head pain is only ONE out of many symptoms of a Migraine Attack:

A “regular” headache doesn’t cause any of the above symptoms. A Migraine sufferer will experience many of those symptoms and maybe more. The whole person as a whole is under attack. And yet the public continues to stay in their Oblivion to this Disease. Those who are not privileged to suffer the regular old run-of-the mill “headaches” are not bombarded with an overwhelming menu  of Preventive Medications to try to control the disability that comes with Migraine Disease:

ANTIHYPERTENSIVES (blood pressure meds) Alpha-2 agonists:

  • Clonidine, aka Catapres
  • Guanfacine, aka Tenex

ACE Inhibitors:

  • Benazepril, aka Lotensin
  • Captopril, aka Capoten
  • Enalapril, aka Vasotec
  • Fosinopril, aka Monopril
  • Lisinopril, aka Zestril, Prinivil
  • Moexipril, aka Univasc
  • Perindopril, aka Aceon
  • Quinapril, aka Accupril
  • Ramipril, aka Altace
  • Trandolapril, aka Mavik

Angiotensin II Inhibitors:

  • Candesartan, aka Atacand
  • Eprosartan, aka Teveten
  • Irbesartan, aka Avapro
  • Losartan, aka Cozaar
  • Olmesartan, aka Benicar
  • Telmisartan, aka Midcardis
  • Valsartan, aka Diovan

Beta Blockers:

  • Acebutolol, aka Secral
  • Atenolol, aka Tenormin
  • Betaxolol, aka Kerlone
  • Bisoprolol, aka Zebeta, Emconcor
  • Cartelol, aka Cartrol
  • Labetalol, aka Normodyne, Trandate
  • Metoprolol, aka Lopressor
  • Nadolol, aka Corgard
  • Penbutololm aka Levatol
  • Pindolol, aka Visken, Syn-Pindolol
  • Propranolol, aka Inderal
  • Timolol, aka Blocadren

Calcium Channel Blockers:

  • Amlodipine, aka Norvasc
  • Bepridil, aka Vascor
  • Diltiazem, aka Cardizem, Tiazac
  • Felodipine, aka Plendil
  • Flunarizine, aka Sibelium (Canada)
  • Isradipine, aka DynaCirc
  • Nicardipine, aka Cardene
  • Nifedipine, aka Adalat, Procardia
  • Nimodipine, aka Nimotop
  • Nisoldipine, aka Sular
  • Verapamil, aka Calan, Verelan, Isoptin

Other Antihypertensives:

  • Guanfacine, aka Tenex
  • Mirtazapine, aka Remeron


  • Cyproheptadine, aka Periactin
  • Pizotifen, aka Sandomigran (UK)
  • Benadryl

ANTIDEPRESSANTS Tricyclic antidepressants (TCAs):

  • Amitriptyline, aka Elavil (discontinued), Endep
  • Amoxapine, aka Asendin
  • Clomipramine, aka, Anafranil
  • Desipramine, aka Norpramin
  • Doxepin, aka Sinequan
  • Imipramine, aka Norfranil, Tofranil
  • Nortriptyline, aka Pamelor, Aventyl
  • Protriptyline, aka Vivactil
  • Trimipramine, aka Surmontil

MAOI Antidepressants:

  • Isocarboxazid, aka Marplan
  • Phenelzine, aka Nardil
  • Tranylcypromine, aka Parnate

Selective serotonin reuptake inhibitors (SSRIs):

  • Citalopram, aka Celexa
  • Escitalopram oxalate, aka Lexapro
  • Fluoxetine, aka Prozac
  • Fluvoxamine, aka Luvox
  • Paroxetine, aka Paxil
  • Protriptyline, aka Vivactil
  • Sertraline, aka Zoloft

Selective serotonin and norepinephrine reuptake inhibitors (SSNRIs):

  • Duloxetine hydrochloride, aka Cymbalta

Other Antidepressants:

  • Bupropion, aka Wellbutrin, Zyban
  • Mirtazepine, aka Remeron
  • Trazodone, aka Desyrel
  • Venlafaxine, aka Effexor, Effexor XR

Attention Deficit Hyperactivity Disorder Meds Selective Norepinephrine Reuptake Inhibitor:

  • Atomoxetine HCl, aka Strattera

ARTHRITIS MEDS Cox-2 Enzyme Inhibitors:

  • Celecoxib, aka Celebrex


  • Carbamazepine, aka Tegretol
  • Clonazepam, Klonopin
  • Clorazepate, aka Tranxene
  • Divalproex, aka Depakote
  • Gabapentin, aka Neurontin
  • Levetiracetam, Keppra
  • Lamotrigine, aka Lamictal
  • Oxcarbazepine, Trileptal
  • Pregabalin, aka Lyrica
  • Tiagabine, aka Gabitril
  • Topiramate, aka Topamax
  • Valproate Sodium, aka Depacon
  • Zonisamide, aka Zonegran

Ergot Alkaloid:

  • Methylergonovine, aka Methergine (the only ergot used as a preventive)

Leukotriene Blockers:

  • Montelukast, aka Singulair
  • Zafirlukast, aka Accolate
  • Zyleuton, aka Zyflo


  • Baclofen, aka Lioresal
  • Botulinum Toxin Type A, aka Botox

Medication for Alzheimer’s Type Dementia:

  • Memantine, aka Namenda

A person who suffers the occasional standard headache would not be prescribed any of the above preventives nor the following array of Abortive Medications:

Analgesic Agents:

  • acetaminophen (APAP).
  • aspirin (acetylsalicylic acid, ASA), which can be used alone or in combination.
  • NSAIDs.


  • butalbital

Ergot alkaloids:

  • cafergot
  • Migranal
  • DHE
  • Sprix


Muscle Relaxers:

  • baclofen (Lioresal)
  • cyclobenzaprine (Flexeril, Flexmid, Amrix)
  • Orphenadrine citrate (Norflex)
  • Tizanidine (Zanaflex)
  • carisoprodol (Soma)
  • chlorzoxazone (Parafon Forte DSC, Lorzone)
  • diazepam (Valium)
  • metaxalone (Skelaxin)

These medication lists are just a sampling and are reserved for those who suffer Chronic Migraine Disease who cannot get relief from OTC Medications used for regular headaches. More medications that are not marketed for Migraine Prevention and Abortive Treatment are being tried on a daily basis. I don’t think they can even compile a complete lists because doctors everywhere are trying other medications out of desperation.  Now some Migraine Patients have been advised they can utilize OTC WITH their medication regimen but it doesn’t take the place of. We use other “alternative therapies” along with our prescribed medications to help with our own care, but not take the place of regular Medical Care.

But yet the public still remains Oblivious to the chronic suffering of Chronic Migraine Sufferers. They prefer to see them as “drug seekers” “whiners” “complainers” “attention seekers” even going to the point of telling us it’s “all in our heads” “we’re making it worse than it really is” “get out and do something and you’ll feel better” “it cannot be that bad” or my favorite “can’t you just take a pill for that”. Even some in the medical profession still do not take Migraine Disease as a legitimate Disabling Neurological Disorder and will treat patients who come to the ER’s for emergency treatment. These patients in desperation are turned away, again labeled as “drug seekers” and treated with contempt. They too remain Oblivious even though there is more proof it is a “REAL” disease. And yes, it can prove fatal to some who can get no help for their chronic condition, who can not get relief from the relentless pain, and they will tragically take their own lives to escape the ridicule, disdain, mistreatment, mismanagement and isolation: http://www.puttingourheadstogether.com/2013/06/dont-tell-me-migraines-dont-kill.html


We are isolated because the world, the public, continue to be Oblivious to our plight. The Stigma of Migraine Disease is too real, too prevalent and needs to be erased from our society: http://www.helpforheadaches.com/articles/2010/Migraine_Stigma_AHS10.htm

Enough is enough. People, stop being Oblivious and open your eyes. Become educated to the plight of Chronic Migraine Disease. Don’t walk around in Oblivion to the plight of those who are suffering and need support.



Learn more about the MHAM Blog Challenge and 

Other MHAM events by visiting:

2013 Migraine & Headache Awareness Month Information Page

June, Migraine and Headache Awareness Month, is dedicated to Unmasking the Mystery of Chronic Headache Disorders. The Migraine and Headache Awareness Month Blog Challenge is issued by FightingHeadacheDisorders.com.







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