What lifestyle modifications can I recommend to patients experiencing frequent migraines?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Lifestyle modifications recommended for patients experiencing frequent migraines include:

  • Keeping a headache diary to record the frequency, duration, and severity of headaches, which helps monitor triggers and the effectiveness of interventions.
  • Avoiding medication overuse by limiting the use of acute headache medications such as triptans, opioids, ergots, paracetamol, aspirin, and NSAIDs to prevent medication overuse headache.
  • Recognising and managing menstrual-related migraine by tracking migraine occurrence in relation to the menstrual cycle.
  • Providing education and support about migraine as a valid medical disorder, including information on risk factors and management options.
  • Considering non-pharmacological approaches such as acupuncture if prophylactic medications are unsuitable or ineffective.
  • Advising on the possible benefit of riboflavin (400 mg once daily) as a supplement to reduce migraine frequency and intensity for some people.

These lifestyle and self-management strategies are important components of migraine management alongside any pharmacological treatments.

References:

Educational content only. Always verify information and use clinical judgement.