Brain & Nervous System Migraines Treatment Migraine Nasal Spray: What You Need to Know By Lana Bandoim Lana Bandoim Facebook LinkedIn Twitter Lana Bandoim is a science writer and editor with more than a decade of experience covering complex health topics. Learn about our editorial process Published on December 14, 2021 Medically reviewed by Huma Sheikh, MD Medically reviewed by Huma Sheikh, MD Facebook LinkedIn Twitter Huma Sheikh, MD, is board-certified in neurology and specializes in migraine and stroke. She co-founded the migraine and vascular section for the American Headache Society. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Nasal Spray Options Available Nasal Sprays How to Use Effectiveness Benefits Side Effects Frequently Asked Questions Prescription nasal spray medications may help relieve migraine pain in some people. This article will explain more about nasal sprays, including how they help treat migraines. Witthaya Prasongsin / Getty Images Nasal Spray Treatment Options Nasal sprays help treat the symptoms of migraines but cannot prevent them from happening. A nasal spray will not reduce the number of migraines you get. However, they may provide rapid relief from a migraine in as little as 15 minutes. A nasal spray can provide quick relief because the body can absorb the medications faster through the nose than in pill form. Your nose has many blood vessels that can absorb drugs. By entering the bloodstream through these blood vessels, medicine does not have to pass through your digestive system first. Nasal sprays approved for treating acute migraine symptoms work by narrowing the blood vessels in the brain and reducing inflammation. They can also block pain signals. Available Nasal Sprays for Migraine The following prescription nasal sprays are available to treat migraine: Triptans: Imitrex or Tosymra (sumatriptan) and Zomig (zolmitriptan) Ergotamines: Migranal or Trudhesa (dihydroergotamine mesylate) Nonsteroidal anti-inflammatory drug: Sprix (ketorolac) Contact your healthcare professional if you are interested in a nasal spray for migraines. Medications for Treating Migraine Headaches How to Use Nasal Spray You should use the nasal spray as soon as the symptoms of a migraine appear. In general, you want to follow these steps: Read the instructions on your nasal spray.Blow your nose.Take the cap off your nasal spray.Hold the spray without pressing the plunger.Block off one nostril by pressing down on it with a finger.Place the spray bottle’s tip inside the other nostril.While breathing in through the nose, spray the liquid.Remove the nasal spray bottle tip from your nose.Breathe in through the mouth for five to 10 seconds.Avoid tilting your head far back or sniffing, so the medicine does not move down your throat. Make sure to read and follow the specific instructions on your nasal spray product. Ask your healthcare professional if you have questions about using the medication. Effectiveness Nasal sprays are considered to be highly effective treatment options for migraines. They can start to work in 15 minutes after you use them. However, nasal sprays work best if you use them as soon as the symptoms of a migraine appear. According to the American Headache Society, nasal sprays are effective for treating migraines. Studies comparing nasal sprays to placebos (inactive sprays) show that the medications help treat the symptoms of migraines. How Migraines Are Treated Benefits The benefits of using nasal sprays for migraines are: Fast relief from migrainesPrevention of nausea and vomiting associated with migrainesNo need for injectionsEffective way to stop migraines Side Effects The side effects of using nasal sprays for migraines may include: Dry mouthIrritated, stuffy, or runny noseUnusual taste in your mouthNauseaWeaknessFatigueDizzinessDrowsinessSkin sensitivity around the nose Summary Nasal sprays are an effective treatment option for people who have migraines. They can work as quickly as 15 minutes if you take them at the first sign of a migraine. Although there are benefits to using nasal sprays, you should also be aware of the side effects. A Word From Verywell If you have migraines, you may want to consider using a nasal spray. Talk to your doctor about all of your treatment options to find the best one for you. You should not ignore migraine symptoms, and there are medications that may help. Frequently Asked Questions Which nasal sprays are best for migraines? All nasal sprays approved by the Food and Drug and Drug Administration are effective, including triptans, dihydroergotamine, and ketorolac. Talk to your doctor to determine which one is best for your migraines. Where can I buy a nasal spray for migraines? You can purchase nasal sprays for migraines at pharmacies. You will need a prescription from your doctor to buy one. Who should not use nasal sprays for migraines? You should not take nasal sprays for migraines if you: Have taken other triptans or ergot-type medications in the past 24 hoursCurrently take a monoamine oxidase A (MAO-A) inhibitor such as Nardil (phenelzine) or took one in the last two weeks. These are a type of antidepressant and may also be used for migraine.Tell your doctor about the following conditions because they may affect your ability to use nasal sprays for migraines: AllergiesHeart diseaseCirculation problemsHigh blood pressureHigh cholesterolDiabetesLiver diseaseKidney diseasePregnancySmokingObesity 4 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Migraine Foundation. Nasal sprays for the treatment of migraine. MedlinePlus. Zolmitriptan nasal spray. Centers for Disease Control and Prevention. Acute migraine. Marmura MJ, Silberstein SD, Schwedt TJ. The acute treatment of migraine in adults: the American Headache Society evidence assessment of migraine pharmacotherapies. Headache. 2015;55(1):3-20. doi:10.1111/head.12499 By Lana Bandoim Lana Bandoim is a science writer and editor with more than a decade of experience covering complex health topics. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit