Top tips on dealing with Nausea and Vomiting in Migraines

Migraine attacks may cause a feeling of sickness (nausea) or cause you to actually be sick (vomit). The nausea makes it harder for your body to absorb migraine tablets into your body. If you take painkillers, they may remain in your stomach and not work well if you feel sick. You may even vomit the tablets back. Tips that may help include:

1. Use soluble (dissolvable) painkillers. These are absorbed more quickly from your stomach and are likely to work better.
2. As mentioned, one brand of diclofenac comes as a suppository. This may be useful if you usually vomit with a migraine.
3. You can take an anti-sickness medicine in addition to painkillers. A doctor may prescribe one - for example, domperidone, prochlorperazine or metoclopramide.
4. Like painkillers, anti-sickness medicines work best if you take them as soon as possible after symptoms begin.
5. An anti-sickness medicine, domperidone, is available as a suppository if you feel very sick or vomit during migraine attacks.
6. Prochlorperazine comes in a buccal form which dissolves between the gum and cheek. This can be useful if you feel sick and do not wish to swallow a tablet.