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  • Updated 08.19.2021
  • Released 08.19.2021
  • Expires For CME 08.19.2024

Migraine treatment

Introduction

Overview

This article updates the guidelines for migraine treatment, specifically the nonpharmacological and pharmacological treatment of migraine. The article is meant to be a summary of the latest guidelines available. Discussion of migraine pathophysiology, complications, and comorbidities are outside the scope of this review.

Key points

• Migraine treatment is meant to be a holistic approach, with pharmacologic and nonpharmacologic methods having equal weight.

• There are medications and devices that are specific to abortive or preventive treatment.

• Modifiable risk factors should be pursued first as diet and lifestyle changes can have significant impact on migraine treatment.

• Medication overuse headache is a common cause of secondary headache and can confound treatment.

• New preventive and abortive options have been released since 2018.

• Several devices can be of benefit for migraine treatment.

• Although limited, there are treatment options for people suffering from migraine during pregnancy and lactation.

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