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Amber is a 24-year-old patient who has had migraines for 10 years. She reports a migraine on average of once a month. The migraines are effectively aborted with naratriptan (Amerge).
17 Σεπ 2024 · The Migraine Patient Journey: Case Challenges on Best Practices in Identification and Treatment When is migraine becoming chronic migraine, and how do we manage it? Authors: Stephanie J. Nahas, MD, MSEd, FAHS, FAAN
17 Νοε 2016 · When reading about headache research, you may have heard of The American Migraine Prevalence and Prevention (AMPP) Study. Even if you have not heard of the study, you may already know some of the findings such as the fact that migraine affects about 12% of adults in the United States.
18 Ιουν 2021 · In this Consensus Statement, we provide a ten-step approach to the diagnosis and management of migraine (Fig. 1). Development of this approach was initiated by the Danish Headache Society, and...
13 Φεβ 2024 · This randomised placebo-controlled trial showed that oral atogepant is an efficacious and safe preventive treatment for episodic migraine in patients with documented failures of two to four oral migraine preventive treatment classes.
With only two migraines per month and mild CDH, a case could be made against prevention medication. However, with the severity and length of Julie's migraines (4 to 6 total days of severe migraine per month), prophylactic medications are indicated. Amitriptyline (Elavil) would be a good choice because of the headaches, insomnia, and anxiety.
A preventive migraine drug is considered successful if it reduces migraine attack frequency or days by at least 50% within 3 months. As illustrated in Case 2-1, additional benefits include reduced attack duration or severity, enhanced response to acute treatments, improved ability to function, and reduced disability.
