The treatment of acute migraine

A patient with migraine needs acute treatment as early as possible when the attack occurs. The most frequently used drugs are non-steroidal anti-inflammatory drugs and triptans. Ergotamine is less and less used. A new perspective has developed since the demonstration of the efficacy of a CGRP antagonist. Using the whole armamentarium, a satisfactory treatment for acute migraine attacks can almost always be found, but several visits may be needed before acute treatment for the individual patient is optimal.