Introduction
Living with chronic migraine can feel unpredictable and exhausting. Attacks may last anywhere from a few hours to several days, often affecting daily routines, work, and quality of life. Migraines typically progress through four stages — prodrome, aura, headache, and postdrome — though not everyone experiences them all.
In this guide, we’ll explore how long migraine attacks last, the symptoms of each stage, and the most effective ways to find relief.
How Long Do Chronic Migraine Attacks Last?
For adults, migraine episodes often last 4 to 72 hours. Children may experience shorter episodes, sometimes only 30 minutes to 2 hours. The duration can vary with every attack, making it important to track patterns with a migraine journal.
The Four Phases of Chronic Migraine
1. Prodrome Phase (Warning Signs)
This early stage begins hours or even days before pain starts. Symptoms may include:
- Food cravings
- Increased thirst
- Fatigue
- Irritability or mood changes
- Stiff neck
Tracking these signs may help you prepare or avoid certain triggers.
2. Aura Phase (Neurological Symptoms)
Around 25% of migraine sufferers experience aura, which may last 10–60 minutes before the headache. Common aura symptoms include:
- Seeing flashing lights, zigzag patterns, or blind spots
- Numbness or tingling in the face or hands
- Dizziness or confusion
- Speech or language difficulties
3. Headache Phase
This is the most intense part of a migraine and may last several hours to days. Symptoms include:
- Throbbing pain on one or both sides of the head
- Sensitivity to light, sound, or smells
- Nausea and vomiting
- Blurred vision
- Worsening pain with movement
4. Postdrome Phase (Recovery)
Also known as the “migraine hangover,” this phase can last up to a day. Symptoms include:
- Fatigue
- Dizziness
- Confusion
- Mood swings
Some feel exhausted, while others experience a sense of relief or euphoria.
Treatment & Relief Options for Chronic Migraine
Home Remedies
- Rest in a dark, quiet room
- Use a cold compress on the head or neck
- Stay hydrated
- Limit screen exposure
Over-the-Counter (OTC) Options
- Ibuprofen (Advil)
- Aspirin (Bayer)
- Naproxen (Aleve)
Prescription Medications
For chronic cases, doctors may prescribe:
- Triptans: Sumatriptan, Rizatriptan
- CGRP Antagonists: Rimegepant (Nurtec ODT), Ubrogepant (Ubrelvy)
- Preventives: Beta-blockers, Topiramate, Amitriptyline
👉 If your migraine attacks are frequent, check out our Medicine Guide for treatment insights.
When to See a Doctor
Seek medical advice if:
- Your migraine lasts longer than 72 hours
- You develop sudden, severe headaches
- Symptoms appear after age 40
- Headaches occur with neurological symptoms like weakness or vision loss
Key Takeaways
- Chronic migraine can last 4–72 hours in adults, shorter in children.
- Attacks often include four stages: prodrome, aura, headache, and postdrome.
- Treatment includes lifestyle changes, OTC medicines, or prescriptions.
- Always consult a doctor for chronic or worsening symptoms.
Outbound Links
National Institute of Neurological Disorders and Stroke
