Prophylaxis for menstrual migraine

Some women only, or mainly, have migraine around the time of menses (typically from a few days before until 3 days after menses begin). If the menstrual cycle is regular, short-term migraine prophylaxis can be helpful.

As short-term prophylaxis, possible drugs include:

1 ibuprofen 400 mg orally, 3 times daily for 5 to 7 days, starting 2 to 3 days before menses are due migraine, menstrual, prophylaxis ibuprofen    

OR

1 naproxen modified-release 750 mg to 1 g orally, once daily for 5 to 7 days, starting 2 to 3 days before menses are due migraine, menstrual, prophylaxis naproxen    

OR

1 naratriptan 1.25 to 2.5 mg orally, twice daily for 5 to 7 days, starting 2 to 3 days before menses are due. migraine, menstrual, prophylaxis naratriptan    

If the woman is already taking a drug as prophylaxis for migraine, another option is to increase the dose of that drug for a week, starting 2 to 3 days before menses are due. Continuous cycling of the combined oral contraceptive or a perimenstrual estrogen supplement can also be considered.