[Acute migraine treatment : recommendations to optimize management]

The management of migraine, particularly the treatment of acute attacks, is frequently suboptimal, both among patients and physicians with limited expertise in this field. This situation is largely explained by the trivialization of the disease, leading to delayed healthcare seeking and inappropriate use of analgesics. Yet, migraine is a highly disabling disorder and a major public health concern. Given this substantial burden, the most immediate therapeutic strategy remains the treatment of acute attacks, with early and adequate administration increasing the likelihood of success while preventing inappropriate medication use. The aim of this article is to revisit the fundamental principles of acute migraine management in order to optimize its use, drawing on the most relevant guidelines, our clinical experience, and the Belgian pharmaco-economic context.