Migraines can be debilitating. We're here to help.

Migraines are severe and debilitating headaches.

If you’ve already been diagnosed with migraines, then our medical team at Lemonaid Health can prescribe and ship three types of migraine medicines direct to your door.

Before you use our migraine service it’s important to read the information below about the treatment we offer and who we can and cannot help.

Are migraines common?

Yes, migraines are very common. Between 12-16% of the population suffer from migraines. Women are three times more likely than men to get migraines.

What are the symptoms of a migraine?

Everyone’s migraines are slightly different. Common symptoms include a headache that intensifies from a dull ache to throbbing pain, stomach pain or nausea, extreme sensitivity to light, sound or temperature, turning pale, dizziness, feeling tired (fatigue), congestion, being irritable. Migraine symptoms can last from hours to days.

Some people get an aura before or as part of the migraine, but not everyone.

How does migraine treatment work?

There are three different types of prescription-pills you can take to treat migraines.

Preventative migraine medicines

You take preventative medicines every day to decrease your chances of getting future migraines.

Preventative meds we prescribe:

Amitriptyline (Elavil)
Metoprolol (Lopressor)
Propranolol
Topiramate (Topamax)

Acute migraine medicines

You take these medicines as you soon as you experience migraine symptoms. The aim is to stop the migraine attack.

Acute meds we prescribe:

Sumatriptan (Imitrex)
Rizatriptan ( Maxalt)

Nausea medicines

You take these medicines if you know you get nausea or vomit from your migraine symptoms.

Nausea meds we prescribe:

Metoclopramide (Reglan)
Ondansetron (Zofran)
Ondansetron ODT (Zofran ODT)

Treatment & Risks

ACUTE: Sumatriptan or Rizatriptan are prescribed to take as needed for acute treatment of migraines. They are both FDA approved for migraine treatment. Serious side effects include:

  • Heart attack
  • Stroke
  • Seizures
  • Brain bleed
  • Vision loss
  • Serotonin syndrome

PREVENTATIVE: Topiramate, Amitriptyline, Propranolol, or Metoprolol are prescribed as preventative treatment to help prevent migraines.

Topiramate is FDA approved for migraine treatment. Serious side effects include:

  • Suicidal thoughts
  • Liver failure
  • Encephalopathy
  • Stevens-Johnson syndrome
  • Cognitive dysfunction
  • Metabolic acidosis
  • Vision loss
  • Glaucoma

Amitriptyline is not FDA approved for migraine treatment, but is being used off-label to treat migraines. Serious side effects include:

  • Suicidal thoughts
  • Heart attack
  • Seizures
  • Abnormal heart rhythm
  • Low blood pressure
  • Bone marrow suppression
  • Depression
  • Glaucoma
  • Fractures

Propranolol is FDA approved for migraine treatment. Metoprolol is not FDA approved for migraine treatment, but is being used off-label to treat migraines. Serious side effects with propranolol and metoprolol include:

  • Anaphylaxis
  • Stroke
  • Heart attack
  • Heart failure
  • Stevens-Johnson syndrome
  • Abnormal heart rhythm
  • Low blood pressure

NAUSEA: Metoclopramide or Ondansetron are prescribed for treatment of nausea related to migraines. They are not FDA approved for this, and are being used off-label.

Metoclopramide - serious side effects include:

  • Neuroleptic Malignant Syndrome (NMS)
  • Tarditive dyskinesia (movement disorder)
  • Abnormal heart rhythm
  • Depression

Ondansetron - serious side effects include:

  • Anaphylaxis
  • Abnormal heart rhythm
  • Serotonin syndrome

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Who we can’t treat

See a doctor in person if any of the following apply:

  • Age 50 or older
  • Pregnant
  • Never been diagnosed with migraine headaches by doctor in person
  • Hemiplegic migraine history (migraine headache with muscle weakness)
  • Uncontrolled high blood pressure
  • Low blood pressure
  • Seizure history
  • Kidney disease
  • Liver disease
  • Abnormal heart rhythm
  • Heart disease, stroke, or other cardiovascular disease

If you are currently experiencing the worst headache of your life, this can be a life-threatening emergency. Please contact 911 immediately or go to your nearest emergency room or hospital.