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Migraine treatment

W B Young1, S D Silberstein, J M Dayno

  • 1Jefferson Headache Center, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.

Seminars in Neurology
|January 1, 1997
PubMed
Summary

Migraine is a complex neurological disorder requiring comprehensive management. Effective treatment involves trigger avoidance, acute symptom relief, and long-term preventive therapies tailored to individual patient needs.

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Area of Science:

  • Neurology
  • Clinical Medicine

Background:

  • Migraine is a primary headache disorder with recurring attacks.
  • Patients require ongoing clinical care based on disability and treatment response.

Purpose of the Study:

  • To outline the comprehensive clinical care continuum for migraine management.
  • To detail treatment strategies including prevention, acute attack management, and prophylactic therapy.

Main Methods:

  • Review of current migraine treatment protocols.
  • Classification of acute and preventive therapeutic options.
  • Consideration of comorbid conditions in treatment selection.

Main Results:

  • Treatment strategies encompass trigger avoidance, nonpharmacologic methods, acute attack treatment, and long-term prophylaxis.
  • Acute treatments include symptomatic or specific drugs like dihydroergotamine (DHE) and sumatriptan.
  • Preventive treatments involve episodic, subacute, or chronic approaches using major drug classes such as beta-blockers, antidepressants, and NSAIDs.

Conclusions:

  • Migraine management is individualized based on headache characteristics, associated symptoms, comorbidities, and patient response.
  • A multi-faceted approach is essential for effective migraine control.
  • Therapeutic choices range from acute symptomatic relief to chronic prophylactic drug regimens.

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