Migraine
Throbbing headache, often with nausea and light sensitivity. Treatable and preventable.
In short
Migraine is a common, treatable, and often preventable cause of disabling headaches. A GP can confirm the diagnosis, treat attacks, reduce their frequency, and make sure the rare serious causes of headache aren't missed.
Overview
What is migraine?
Migraine is a neurological condition causing recurrent, often one-sided throbbing headaches, frequently with nausea and sensitivity to light and sound. Some people get an aura (visual or sensory changes) beforehand. Attacks can be disabling but are very treatable, both to relieve attacks and, where frequent, to prevent them.
Symptoms
Common symptoms
- A moderate-to-severe, often throbbing headache, frequently one-sided
- Nausea or vomiting
- Sensitivity to light and sound
- Aura before the headache (visual disturbances, tingling) in some people
- Attacks lasting hours to a few days
When to act
When to see a doctor
Book a GP if headaches are recurrent, disabling, or not controlled by over-the-counter painkillers, or if you want preventive treatment. Call 999 for a sudden severe headache, or headache with fever and neck stiffness, confusion, weakness, or slurred speech.
When to seek urgent help
Seek urgent help if
- A sudden, severe "thunderclap" headache that peaks within seconds to minutes (call 999)
- Headache with a stiff neck, fever, rash, confusion, or drowsiness (call 999)
- Headache with weakness, numbness, slurred speech, or vision loss (possible stroke, call 999)
- A new or very different headache, especially over age 50, or that's progressively worsening
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- Assessment to confirm migraine and rule out other causes of headache
- Advice on acute treatment (triptans, anti-sickness, and pain relief)
- Identifying and managing triggers (sleep, stress, caffeine, dehydration, hormones)
- Preventive medication for frequent migraines where appropriate
- A headache diary approach to improve control
- Referral to neurology for difficult or unusual cases
What we don't do
- Emergency assessment of sudden severe or red-flag headaches (call 999)
- Brain scans and specialist neurology (referred on)
Pricing
What it costs
An online consultation about migraine starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about migraine
What's the best treatment for a migraine attack?
Can migraines be prevented?
What triggers migraines?
When is a headache serious?
Ready to talk to a GP about migraine?
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