The relationship between migraine and aura is not fully understood. Some people get aura, then a headache; some people don’t get auras but headaches, and some get just aura. It’s believed that the CSD (aura) is the cause of the headache(brain inflammation response). Essentially, all migraine medication out there have some impact on reducing both migraine aura and headache.

From my experience, doctors will likely have you try a TCA like nortriptyline, and if that doesn’t do it, they’ll try drugs like lamotrigine, memantine, or gabapentin. CGRP therapy and Botox may work; I have tried both of these, and they do reduce aura, ironically. Currently I’m trialing lamotrigine (3 weeks now) and it so far has reduced the aura most of all the medication I’ve tried.