Preventative Treatment for Migraine Patients

CE / CME

Personalized Migraine Prevention: Crafting Proactive Treatment Plans through Shared Decision-Making

Physician Assistants/Physician Associates: 0.50 AAPA Category 1 CME credit

Nurses: 0.50 Nursing contact hour

Physicians: maximum of 0.50 AMA PRA Category 1 Credit

Pharmacists: 0.50 contact hour (0.05 CEUs)

Released: May 28, 2024

Expiration: May 27, 2025

Nada Hindiyeh
Nada Hindiyeh, MD, FAHS

Activity

Progress
1 2
Course Completed

You explain to Alice that she has chronic migraine, and that the overuse of a triptan could be contributing to medication overuse headache. You discuss the importance of starting a preventive treatment option. Alice mentions that many years ago she was started on topiramate for migraine prevention but was unable to tolerate it due to side effects; she also tried amitriptyline which made her too drowsy in the mornings.

You and Alice discuss different treatment options for migraine prevention, along with decreasing her triptan use to 10 days a month and lifestyle modifications.

What migraine preventive treatment should be offered next for Alice?