Shallaki
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GenericMed
$43.09 - Shallaki 1 pc 2 bottles
$43.09 - Shallaki 1 pc 2 bottles
most countries
Tl-Pharmacy
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10-21 days/free
every country
MedRx-One
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LeadMedic
$59.88 - 1 bottle x 60 caps
$93.28 - 2 bottles x 1 pc (+$33.40)
5-7 days/$25
every country
Pharma-Doc
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FedEx next day/$24
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Med-Pen
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7-14 days/$20
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OurPharmacyRx
$43.80 - 2 bottles x 1 pc
$190.80 - 12 bottles x 1 pc
5-12 days/$30
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RxPharms
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worldwide
RxMedShop
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5-9 days/$30
3-6 days/$40
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TREATING MIGRAINE WITHOUT DRUGS: AVOIDANCE OF STRESS
Although a certain amount of stress is a normal part of human existence, excessive amounts can undoubtedly act as a provocative factor. In many patients it therefore seems logical to try to lessen this, if possible. The first step, which often helps greatly, is to remove any worries regarding the nature of migraine with an explanation as well as reassurance that there is nothing more seriously wrong. Only very rarely are worries about the nature of the illness sufficiently intractable to need referral to a psychiatrist.
Although life-style cannot always be changed, the worsening of any stress disease indicates the need for its re-examination. Obvious examples include the person in business or one of the professions who never takes time off to relax; here the important point to emphasize is that one headache a month equals one day lost from work a month, so that it is a good investment to take some time off. The type ‘A’ person may find periods of relaxation which take the form of just staring at the ceiling punitive; in this sort of case, physical exercise may be indicated, starting gently in those unaccustomed to it.
Although it is impractical to suggest that the hard-working businessman gives up his job, it is possible to help him cope with the pressures involved in his work. By preventing the physiological (e.g. hormonal) changes caused by stress, the cycle of chemical changes involved in migraine can be arrested. One useful method of achieving this is relaxation therapy where many of the changes induced are the reverse of those seen in the tension headache/migraine syndrome. During relaxation certain physiological changes occur, e.g. muscle tone is decreased, and respiration and the heart rate slow; all of these are manifestations of a decrease in the tone of sympathetic muscles. Historically, there have been numerous types of relaxation therapy: the Japanese communal bath, which is not used for cleansing purposes, the Finnish sauna, the American ‘whirlpool’, and massage are all attempts in this direction. There is some evidence that teaching a tense person to relax is of benefit in reducing the incidence of headaches but it is difficult to separate this improvement from the placebo response, so that the claims to success of relaxation therapy are difficult to interpret.
Often those persons who most need relaxation find the greatest difficulty in obtaining it. One way recommended for assessing a person’s state of tension is to imitate his posture, e.g. sitting on the edge of the chair leaning forward with shoulders hunched and fists clenched. If the patient holds this posture for a few minutes, there will be a feeling of discomfort. If, on breathing out rapidly there is a smooth exhalation, relaxation is possible but interrupted breathing with an involuntary holding of the breath implies that the patient may be resistant to relaxation therapy.
Relaxation therapy aims at providing a variety of positive steps to ensure that the last remains of tension have been removed. Relaxation is much easier in a warm quiet room. Many hospitals and therapists have their own techniques for relaxation.
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