[Office Treatment of Migraine in 2004]

The current headache classification differentiates between migraine with and migraine without an aura. Each form is characterized by typical pain and concomitant symptoms. In the case of status migrainosus the additional administration of a corticosteroid has proven useful. To cut short mild attacks of migraine, analgesics together with an antiemetic are employed; for severe attacks, triptans are needed. The aim of migraine prophylaxis is to prevent the occurrence of medication-induced headache. It is indicated when at least 6 migraine attacks a month occur. The recommendation to apply prophylaxis in the event of at least three attacks a months is now considered obsolete.