Magnesium for Migraines & Headaches: The Ultimate In‑Depth Guide

Correcting a magnesium deficiency is one of the safest, most evidence‑based, and cost‑effective ways to reduce the frequency, duration, and intensity of migraine attacks and tension headaches—but only if you use the right form, dose, and delivery method for your body.

By
Dr. LaChance
By
Dr Ryan LaChance
April 21, 2025
5 minute read
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Table of Contents

  1. Why Magnesium Matters for Migraine Sufferers
  2. Does Magnesium Help With Headaches? The Science
  3. Which Magnesium Is Best for Migraines? Forms Compared
  4. How Much Magnesium for Migraines? Evidence‑Based Dosage
  5. Magnesium & Riboflavin: A Potent Prevention Duo
  6. Topical & IV Magnesium: Oils, Sprays, and Infusions
  7. Can Magnesium Cause Headaches? Side‑Effects & Myth‑Busting
  8. Buying Guide: Best Magnesium Supplements for Migraines & Tension Headaches
  9. Lifestyle Strategies to Boost Magnesium & Lower Migraine Risk
  10. Frequently Asked Questions
  11. Final Thoughts

1. Why Magnesium Matters for Migraine Sufferers

  • Role of magnesium: This essential mineral regulates more than 600 enzymatic reactions—including neurotransmitter release, vascular tone, and energy production inside mitochondria. All three mechanisms are involved in migraine pathophysiology.
  • Studies show up to 50% of people with migraines have lower serum or cerebrospinal magnesium levels compared with controls.
  • People with migraines often excrete magnesium faster in urine, are more sensitive to dietary shortfalls, and may have gene variants that impair cellular magnesium transport.
  • Correcting the deficit can stabilize the trigeminovascular system, reduce cortical spreading depression, and calm over‑excited neurons.

Bottom line: If you’re a migraine sufferer, you almost certainly need more magnesium than the general population.

2. Does Magnesium Help With Headaches? The Science

ConditionEvidence SummaryTypical BenefitMigraine (with or without aura)15+ randomized controlled trials show oral magnesium (usually glycinate or citrate) cuts attack frequency by 30‑50% in 8–12weeks.↓ monthly attacks, ↓ intensity, faster recoveryTension headachesObservational data link chronic tension headaches to lower intracellular magnesium. Supplementation (400–600mg/day) reduces muscle tightness and frequency.Fewer tension daysCluster headachesSmaller studies, but IV magnesium sulfate (1–2g) aborts attacks in 40% of patients.Acute relief

Mechanisms of action for magnesium headache treatment include:

  1. NMDA receptor modulation → dampens excitatory glutamate signaling.
  2. Serotonin receptor balance → stabilizes blood vessels.
  3. Calcium channel blocking → prevents vascular spasms.
  4. Anti‑inflammatory effects → lowers CGRP and substance P.

3. Which Magnesium Is Best for Migraines? Comparing Forms

3.1 Magnesium Glycinate (Bis‑Glycinate)

  • Why migraine clinicians love it: Highly bioavailable, gentle on the gut, calming (thanks to the amino acid glycine).
  • Best for: Daily prevention, sleep support, anxiety‑linked headaches.
  • Typical dose: 300–400 mg elemental magnesium split 2× / day.

3.2 Magnesium Oxide

  • Pros: Inexpensive, widely studied (reduced migraine days by 41% in one classic trial).
  • Cons: Lower absorption, can cause a laxative effect at >400 mg—which some patients can’t tolerate.

3.3 Magnesium Threonate

  • Unique trait: Crosses the blood‑brain barrier more efficiently, potentially raising brain magnesium by 15%.
  • Evidence: Early data suggest improved cognitive function and reduced migraine aura, but large trials are pending.

3.4 Magnesium Citrate

  • Pros: Good absorption, gastro‑friendly at moderate doses.
  • Cons: Still mildly laxative; stick to ≤300 mg at a time.

3.5 Magnesium Sulfate (IV or Epsom Salt Baths)

  • Hospital use: 1–2 g IV over 15 min aborts severe attacks, especially in aura or pregnancy‑related migraine.
  • Home use: Epsom baths aren’t well studied for migraine relief but can aid relaxation.

3.6 Topical Magnesium (Oil & Spray)

  • Delivery: Magnesium chloride brine sprayed on skin; bypasses digestion.
  • Evidence: Small trials show a 50% reduction in headache days after 3 months of daily application to the abdomen/legs.
  • Pro tip: If it stings, dilute 1:1 with water until skin adapts.

Quick reference: Magnesium glycinate for migraines = best overall balance of absorption + GI tolerance. Magnesium oxide = budget option; threonate = brain‑targeted; topical oil/spray = fast, localized relief.

4. How Much Magnesium for Migraines? Evidence‑Based Dosage

GoalFormAmount of MagnesiumTimingDaily preventionGlycinate or citrate400–600 mg elementalSplit AM & PM with foodAcute relief (oral)Citrate powder300mg once at first signMay repeat in 2h (max 600mg)Acute relief (topical)Magnesium oil8–10sprays (≈120mg)Massage into temples/neckHospital emergencyIV magnesium sulfate1–2gOver 15min under MD supervision

Adults with moderate kidney function can safely take up to 1,000 mg/day under medical guidance. Exceeding 350 mg/day from supplements may cause loose stools—reduce dose or switch to topical if that occurs.

5. Magnesium and Riboflavin (Vitamin B2): A Potent Prevention Duo

  • Synergy: Riboflavin boosts mitochondrial energy, while magnesium stabilizes neurons. Together they cut migraine frequency by an additional 17% vs. either nutrient alone.
  • Dose combo: 400 mg magnesium glycinate + 400 mg riboflavin daily.
  • Bonus: Both are water‑soluble and safe in pregnancy.

6. Topical & IV Magnesium: Oils, Sprays, and Infusions

6.1 Magnesium Oil & Sprays for Migraine Headaches

BenefitOil / SprayHow to UseRapid absorptionMagnesium chloride brineApply to pulse points for 20min, then rinseBypasses gutGood for IBS or those who can’t tolerate oral oxideDaily application to calves, stomach, or backLocalized muscle reliefCombine with gentle neck stretchesReduces tension‑type triggers

6.2 IV Magnesium for Severe Attacks

  • Used in ERs when triptans fail.
  • Particularly effective for migraine with aura and pregnancy‑related migraines.
  • Onset of relief: 15–45 minutes.

7. Can Magnesium Cause Headaches? Side‑Effects & Myth‑Busting

Most people ask “Can magnesium give headaches?” The short answer is rarely.

  • Rebound vasodilation: A sudden drop in magnesium after stopping high‑dose supplements might trigger a mild headache—prevent by tapering.
  • Impurities or fillers: Cheap tablets containing magnesium stearate or artificial dyes can cause headaches in sensitive individuals.
  • Hypermagnesemia: Only occurs with kidney disease or IV overdose—symptoms include nausea, low blood pressure, and not migraines.

If you suspect magnesium causing headaches, switch to a chelated form (glycinate/threonate) and ensure dosing with food.

8. Buying Guide: Best Magnesium Supplements for Migraines & Tension Headaches

Top‑Rated Magnesium Glycinate Brands

  1. Pure Encapsulations—hypoallergenic, USP‑verified.
  2. Thorne Magnesium Bisglycinate Powder—customizable dose, zero fillers.
  3. Doctor’s Best High Absorption Magnesium—budget‑friendly chelate.

Budget Option

  • NOW Foods Magnesium Oxide—simple formulation; start at 250 mg to gauge tolerance.

Brain‑Boost Choice

  • Magtein® Magnesium L‑Threonate—used in cognitive and migraine aura studies.

Best Magnesium Oil for Migraines

  • Ancient Minerals Magnesium Oil—pharmaceutical‑grade magnesium chloride brine from the Zechstein seabed.

Look for third‑party testing (NSF, USP, Informed Choice) and avoid proprietary “blends” that hide elemental magnesium content.

9. Lifestyle Strategies to Boost Magnesium & Lower Migraine Risk

Eat Magnesium‑Rich Foods Daily

  • Leafy greens: Spinach, Swiss chard, kale.
  • Nuts & seeds: Almonds, pumpkin seeds, cashews.
  • Legumes: Black beans, edamame, chickpeas.
  • Whole grains: Quinoa, brown rice, oatmeal.
  • Dark chocolate (≥70% cacao): 50 g provides ~150 mg magnesium and bliss.

Limit Magnesium Drains

Lifestyle FactorEffect on MgFixHigh caffeine/soda↑ urinary lossSwap some coffee for herbal teaHeavy alcoholBlocks absorptionAlternate drinks with waterChronic stressBurns cellular MgPractice breathwork, yogaCertain meds (PPIs, diuretics)Deplete Mg storesDiscuss alternative prescriptions

Build a Migraine‑Resilient Routine

  1. Hydration: Aim for 2–3 L water/day.
  2. Consistent sleep schedule: Guards against cortical spreading depression.
  3. Regular exercise: Moderate aerobic activity boosts magnesium uptake in muscle.

10. Frequently Asked Questions

Q1. Does magnesium glycinate help with migraines more than citrate?
A: Yes; glycinate is absorbed intact via amino‑acid channels, so more magnesium reaches your bloodstream with fewer GI side‑effects.

Q2. What type of magnesium for migraines works fastest?
A: IV magnesium sulfate (clinical) or topical magnesium oil (home) provide the quickest onset.

Q3. How much magnesium for migraines is too much?
A: Keep total supplemental intake ≤1,000 mg/day unless supervised by a physician. Watch for diarrhea—your cue to cut back.

Q4. Can magnesium glycinate cause headaches?
A: Unlikely. If you notice headaches after starting, rule out dehydration or other new variables before blaming magnesium.

Q5. Does magnesium oxide help migraines despite low absorption?
A: It can—large doses (500–600 mg) overcome the lower uptake, but GI tolerance may limit usefulness.

11. Final Thoughts

Adding magnesium—whether through dietary sources, oral magnesium supplements, topical sprays, or supervised IV infusions—is a cornerstone of natural migraine remedy protocols. The key is matching the right form and dose to your biology. Start with 400 mg magnesium glycinate daily, track your migraine diary for 8–12 weeks, and fine‑tune. Pair it with riboflavin, hydration, and stress management for a comprehensive, drug‑free path to fewer headaches and brighter days.

Empower yourself: Talk to your healthcare provider, choose a quality supplement, and watch the frequency of migraines shrink—naturally.

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Dr. Ryan and Katie are the sweetest people ever!! I have recently started coming to WAVE after years of suffering from migraines and tension headaches. I would have migraines and tension headaches that would last for days with no help from medications. After just two adjustments, I definitely see an improvement! I haven’t had a headache or the urge to crack my neck (which I did couple times a day). Dr. Ryan takes his time to thoroughly explain the process of the appointment step by step and what to expect after your adjustment. I highly recommend coming to WAVE and seeing Dr. Ryan!
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Jan 18, 2024
Helped me tremendously with a 20+ year vestibular problem that every other doctor or treatment basically shrugged their shoulders at
Dr. Ryan and Dr. Katie help me tremendously with a 20+ year vestibular problem that every other Doctor or treatment basically shrugged their shoulders at and told me "everything looked fine". It is comforting also that Dr. Ryan himself went through a similar issue so he understands the frustration of what I was going through. If you're tired of searching for anything to help, please give this a try!!! Also great family vibe in the office with Bernie (their dog). I would give 10 stars if I could!
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