Most of our patients experience their first migraine attacks in their teens or early 20s. Migraine pains manifest themselves more intensely in the 30-40s. Before we call migraine headache that starts after the age of 50, we need to investigate if there is any other underlying reason.

Is it seen in children?

Yes, migraine in children can manifest itself as a headache or as recurrent vomiting and abdominal pain. Young children have difficulty expressing that they have a headache. It should be suspicious that they take a break from a play they play with interest or a movie they watch, and feel the need to go to bed.


We treat migraine with two methods. One is the treatment of migraine attacks … As soon as migraine pain starts, we want to intervene with painkillers and anti-nausea drugs before the pain grows. We start with simple painkillers first, and when these are ineffective, we prescribe migraine-specific pain relievers. If the migraine pain is not intervened in time, the pain grows and the response to painkillers becomes more difficult. Our second method of treatment is preventive treatment. Those who have migraine attacks 3-4 times a month are candidates for preventive treatment. While determining these treatments, we would like to simultaneously treat migraine as well as accompanying diseases such as depression, fibromyalgia and sleep disorders. We present a multidisciplinary treatment approach with psychiatry and physical therapy in these patients. Our aim is to reduce the number of painful days and pain intensity more than half and improve the quality of life.


The problem we encounter frequently in our patients with migraine is painkiller addiction. Our migraine patients usually start taking more painkillers when their pain becomes more frequent. This situation causes pain not to be relieved by painkillers and to become frequent after a while. They experience severe pain the day they don’t take the pain reliever. The best way to prevent this type of pain, which we describe as medication overuse headache, is to consult a neurologist and start migraine prevention treatment when the pain becomes more frequent.


Contact your doctor as soon as possible if:

If the attacks have increased in severity and duration,
If you are experiencing the most severe headache you have ever had,
If the medications you use do not relieve the pain,
If neurological findings such as temporary vision loss and loss of strength have developed,
If accompanied by symptoms such as change in consciousness, high fever.


What is preventive treatment?

Preventive treatment is a treatment that we recommend to our patients with frequent migraine attacks. If you have a headache 1-2 times a month, it is sufficient to relieve these pains with a painkiller and nausea. However, if you experience pain every week or more, taking treatment that prevents migraine affects your quality of life positively.

How long does preventive treatment take?

You should use the preventive treatments taken orally every day at least 6-9 months without a break. In some patients who stop taking their medication earlier than we planned, the pain may come back. Our main goal in treatments is to reduce the frequency and severity of existing pain by more than half and increase the quality of life. But the following point should not be forgotten: The patient may have a migraine attack after the treatment is completed.

What kind of preventive medicine is used in which patient?

Migraine treatment is a treatment determined according to the needs of the patient and other accompanying health problems. The most commonly used drugs are beta blockers, antiepileptics, calcium channel blockers and antidepressants. We also recommend botulinum toxin administration in chronic migraine.


Pain associated with acute sinusitis often occurs in the face, forehead or in the sinuses near the nose. Concomitant nasal congestion, fever, and a decrease in smell can be seen. Chronic sinusitis does not cause headache. The biggest mistake of our patients is that they think that the chronic pain they experience is due to a sinus problem. A physician should be consulted to understand whether the headache that occurs in attacks is migraine.

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