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CMAJ - July 14, 1998JAMC - le 14 juillet

Guidelines for the nonpharmacologic management of migraine in clinical practice

Table 1: Potential triggers of migraine headache (level III evidence, class A recommendation)
Emotional Stress
Changes in behaviour
   Missing a meal; hypoglycemia
   Sleeping more or less than usual
Environmental factors
   Bright or flickering light
   Loud noise
   Weather changes
   Strong odours
Foods and beverages
   Cured meats (e.g., hot dogs, bacon)
   Caffeine-containing beverages
   Alcoholic beverages, especially red wine
   Other, individually recognized dietary factors
   Monosodium glutamate (MSG, natural flavour,
     hydrolysed vegetable protein)
   Nitrites (as in preserved meats)
   Caffeine (and caffeine withdrawal)
   H2 receptor blockers
   Oral contraceptives (ethinyl estradiol +)
Note: This is not an exhaustive list. The headaches caused are not always characteristic of migraine, and their occurrence varies from person to person and from occasion to occasion.

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