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Migraine prophylaxis and breastfeeding

So many people now seem to have regular migraines which are debilitating and make life with babies and children a nightmare.

Preventive treatment may be appropriate if the mother suffers at least two attacks a month, an increasing frequency of headaches, suffers significant disability despite suitable treatment for migraine attacks or cannot take suitable treatment for migraine attacks.

  • Beta-blockers e.g., propranolol are effective.
  • Tricyclic antidepressants e.g., amitriptyline 
  • Topiramate
  • Pizotifen
  • Botox
  • Riboflavin

all of which are safe in breastfeeding. More information in the factsheet

Migraine prophylaxis and breastfeeding factsheet

References are available by emailing me wendy@breastfeeding-and-medication.co.uk or can be found in Breastfeeding and Medication