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Migraine headache: options for acute treatment
1Headache Clinic and Research Center, Park Nicollet Health Services, 6490 Excelsior Boulevard, Minneapolis, MN 55426, USA. taylof@parknicollet.com
Current Neurology and Neuroscience Reports
|March 4, 2005
Summary
Effective migraine treatment involves early intervention and patient-centered care. Utilizing migraine-specific therapies like triptans, with careful dosing, improves pain freedom and reduces disability.
Area of Science:
- Neurology
- Pharmacology
Background:
- Migraine treatment requires understanding diverse presentations and disability levels.
- Effective acute management is crucial for reducing headache days and disability.
Purpose of the Study:
- To outline optimal acute migraine treatment strategies.
- To emphasize early, patient-centered, and migraine-specific therapeutic approaches.
Main Methods:
- Review of diagnostic steps and treatment selection criteria.
- Focus on phase-specific and stratified patient-centered therapy.
- Analysis of treatment goals including early intervention and dosing frequency.
Main Results:
- Optimal treatment necessitates recognizing migraine variability and disability.
- A key goal is achieving 75% pain freedom at 2 hours with limited dosing (≤2 doses/≤2 days/week).
- Migraine-specific therapies, particularly triptans, are effective.
Conclusions:
- Successful acute migraine management relies on early, appropriate treatment.
- Patient-centered, stratified therapy using migraine-specific agents like triptans is key.
- Balancing early treatment with appropriate dosing frequency is essential for success.