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Migraine Medication Response Log
A plain migraine log for medicine names, times, relief, side effects, cycle timing, and questions for a clinician.
Migraine medicine notes are easy to forget. Pain, nausea, light, and sound can make the day blur.
This log helps you write down what happened. It does not tell you what to take. It does not tell you when to take it. It does not tell you to take more medicine.
Use it with your clinician. Bring your real plan, your medicine list, and your questions.
Seek urgent care if a headache is sudden and very bad, follows a head injury, feels new after age 50, or comes with fever, stiff neck, confusion, seizure, double vision, numbness, or weakness.
Medicine list
Write your current plan first. Copy the amount only from your label or care plan.
Medicine name Why it is on my plan Amount from label or plan Who gave the plan? Notes Migraine / nausea / prevention / other Migraine / nausea / prevention / other Migraine / nausea / prevention / other Migraine / nausea / prevention / other
Do not add an amount from memory if you are not sure. Check the label, portal, or clinician note.
Attack start notes
Fill this out when a migraine starts, or after you feel well enough.
Date Time started Cycle day Period day? First signs Pain 0 to 10 Other symptoms : : yes / no / unsure aura, neck, mood, cravings, yawn nausea, light, sound, smell
Plain notes are enough. "Light hurt, pain left side, cycle day 27" is useful.
Medicine response log
Use one row each time you take medicine from your own plan.
Date Time Medicine name Amount from plan Symptoms before Relief after Side effects Question pain, nausea, light, sound none / some / good sleepy, dizzy, nausea, other
This table is only a record. It is not a dosing guide.
Relief check
Check in at the times your clinician told you to use. If no plan says when, write the times you can remember.
Check time Pain 0 to 10 Nausea Light or sound Can I do basic tasks? Notes : Before medicine none / mild / strong okay / hard yes / no Later none / mild / strong okay / hard yes / no Bedtime none / mild / strong okay / hard yes / no Next morning none / mild / strong okay / hard yes / no
Do not use this section to decide on another amount or another time. Follow your plan, label, or clinician advice.
Side effect notes
Track side effects in plain words.
Date Medicine name Side effect When it started How strong 1 to 5 What changed in my day? :
Tell your clinician about side effects. Seek urgent help if symptoms feel severe or unsafe.
Cycle timing notes
American Migraine Foundation and The Migraine Trust both describe migraine attacks that can cluster near a period.
Track:
Period start date. Cycle day when the attack started. Whether bleeding had started. Whether this happens in other cycles. Whether the attack felt longer than usual. Whether medicine helped less than usual.
This log cannot diagnose menstrual migraine. It can help your clinician review the pattern.
Questions for your clinician
Bring the questions that fit.
What should I track after taking medicine? What side effects should I report right away? What should I do if I vomit after taking medicine? What should I do if medicine does not help? What should I do if I miss a planned medicine time? How often is too often for my medicines? Could any medicine on my list make migraine worse? Does aura change which options are safe for me? Does my cycle timing change the care plan? Should I bring this log to neurology or gynecology?
Use the migraine trigger and cycle comparison log if you also want to compare sleep, food, stress, weather, and cycle timing.
Privacy note
Migraine logs can include period dates, medicine, work limits, sex, stress, and where you were.
Floriva can keep cycle and symptom notes on your device. Paper works too. Bring the smallest record that helps your care.
Read the menstrual migraine tracking guide if cycle timing is your main question.
Before sharing a full log, use the menstrual migraine data privacy checklist.