Migraine is a common chronic condition characterized
by recurrent and often stereotyped headache
events that recur with a marked variation in frequency
within the population, from 1-2 events per
year to several or more events per month. An individual
patient’s headache frequency may also change
over time. When events are infrequent, abortive
therapy alone may be appropriate. When episodes
occur frequently, however, an additional management
approach that seeks to reduce or prevent headache
events may be more desirable.
As an example, a 40-year-old woman with
migraine who reports an increase in headache frequency
to 3 or more events per month as a result of
home and work stress may be a typical candidate for
preventive migraine therapy. This discussion will
include tips on how to recognize patients who might
benefit from prevention, how to initiate and monitor
treatment, and how to select the best preventive
medication.
Migraine is a common chronic condition characterized
by recurrent and often stereotyped headache
events that recur with a marked variation in frequency
within the population, from 1-2 events per
year to several or more events per month. An individual
patient’s headache frequency may also change
over time. When events are infrequent, abortive
therapy alone may be appropriate. When episodes
occur frequently, however, an additional management
approach that seeks to reduce or prevent headache
events may be more desirable.
As an example, a 40-year-old woman with
migraine who reports an increase in headache frequency
to 3 or more events per month as a result of
home and work stress may be a typical candidate for
preventive migraine therapy. This discussion will
include tips on how to recognize patients who might
benefit from prevention, how to initiate and monitor
treatment, and how to select the best preventive
medication.
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