Migraine headaches are almost as mysterious as they are excruciating.

An important part of this is avoiding triggers that cause a typical migraine to escalate into intractable migraine.

Top culprits include stress and changes in medications or hormonal birth control methods.

Intractable Migraine Portrait of AfroAmerican woman hand on forehead blue wall in the background

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Its also very important to stick to a regular schedule for meals, sleep, and gentle exercise.

Antidepressants like amitriptyline are also commonly prescribed as migraine preventatives and may help ward off intractable migraines too.

When you do get a migraine attack, its crucial to take abortive medication immediately when your symptoms begin.

Even this may not always prevent an intractable headache from spiraling, though.

More on migraine prevention and migraine treatment options: