# migraine with aura after training **URL:** \ **Category:** Medical Q&A \[Moderated\]\ **Created:** [February 2, 2020, 12:57pm UTC](https://forum.barbellmedicine.com/t/migraine-with-aura-after-training/8058 "2020-02-02T12:57:49Z")\ **Posts on this page:** 5\ **Page:** 1
**Author:** ![Vogelmann](https://avatars.discourse-cdn.com/v4/letter/v/848f3c/32.png) [@Vogelmann](https://forum.barbellmedicine.com/u/Vogelmann)\ **Post date:** [February 2, 2020, 12:57pm UTC](https://forum.barbellmedicine.com/t/migraine-with-aura-after-training/8058/1 "2020-02-02T12:57:49Z")
Hi doctors, I have a question about migraine and aura after training. I don’t know what to do anymore and I thought, maybe you have a tip? It often happens to me after training. It starts with vision problems, paralysis, speech disorders, and headaches. The whole thing takes me at least two days since I can only lie in bed in a dark room. That’s why I am not training with heavyweight anymore. Like no singles or even triples ☹ I try to train with RPE7 mostly with 10 reps for each exercise and implement more cardio parts. Nevertheless, it often happens to me that I have an attack again. Unfortunately, I get more and more afraid of training because the attacks seem so arbitrary to me and when the migraine is coming, its always after training. I figured out that, not too much caffeine, enough sleep and eating enough before training counteracts the attack. However, it doesn’t always work and I can’t rely on that. So if you have any tips, I would be very happy! 🙂 Thank you very much and best regards from Germany, Marie P.S. I have had many visits to the neurologist. Everything looks good in the head 🙂 P.P.S. You are doing a great job! Thank you for that! ---
**Author:** ![Austin\_Baraki](https://sea1.discourse-cdn.com/flex001/user_avatar/forum.barbellmedicine.com/austin_baraki/32/1095_2.png) [@Austin\_Baraki](https://forum.barbellmedicine.com/u/Austin_Baraki)\ **Post date:** [February 2, 2020, 2:40pm UTC](https://forum.barbellmedicine.com/t/migraine-with-aura-after-training/8058/2 "2020-02-02T14:40:02Z")
What sorts of prophylactic and/or abortive treatment options has the neurologist discussed with you? ---
**Author:** ![Vogelmann](https://avatars.discourse-cdn.com/v4/letter/v/848f3c/32.png) [@Vogelmann](https://forum.barbellmedicine.com/u/Vogelmann)\ **Post date:** [February 3, 2020, 1:50pm UTC](https://forum.barbellmedicine.com/t/migraine-with-aura-after-training/8058/3 "2020-02-03T13:50:18Z")
I take Tavor (Lorazepam) and Novalgin as soon as an attack occurs and if it is really bad I also add Ibuprofen. This combination works quite well against pain and stress. Triptans didn’t work for me and made the attack worse. I have not taken any medication as a prophylactic, as I didn’t want to take beta-blockers and the neurologist was okay with it. Otherwise, I did psychotherapy for a long time and tried to reduce my stress. Thank you! ---
**Author:** ![MSupply](https://avatars.discourse-cdn.com/v4/letter/m/b38774/32.png) [@MSupply](https://forum.barbellmedicine.com/u/MSupply)\ **Post date:** [February 4, 2020, 8:58pm UTC](https://forum.barbellmedicine.com/t/migraine-with-aura-after-training/8058/4 "2020-02-04T20:58:53Z")
Following just to get the advice. I am in a similar, but less severe situation now. ---
**Author:** ![Austin\_Baraki](https://sea1.discourse-cdn.com/flex001/user_avatar/forum.barbellmedicine.com/austin_baraki/32/1095_2.png) [@Austin\_Baraki](https://forum.barbellmedicine.com/u/Austin_Baraki)\ **Post date:** [February 5, 2020, 8:43pm UTC](https://forum.barbellmedicine.com/t/migraine-with-aura-after-training/8058/5 "2020-02-05T20:43:39Z")
> [@Vogelmann](#): > > I take Tavor (Lorazepam) and Novalgin as soon as an attack occurs and if it is really bad I also add Ibuprofen. This combination works quite well against pain and stress. Triptans didn’t work for me and made the attack worse. I have not taken any medication as a prophylactic, as I didn’t want to take beta-blockers and the neurologist was okay with it. Otherwise, I did psychotherapy for a long time and tried to reduce my stress. > > Thank you! I think behavioral psychotherapy is a good option from a lifestyle standpoint here. There are several other prophylactic medication options that you might discuss with your neurologist here beyond just beta blockers (e.g., topiramate, valproate, and others). There are a few supplements with some promising data for reducing migraine frequency as well, including Riboflavin (400 mg/d) and Coenzyme Q10. Outside of these factors I don’t have other suggestions.