![]() In this review, we will discuss different pharmacological therapies for migraine prophylaxis that have been recommended by different international guidelines, which well help clinicians to choose appropriate treatment options during patient care and may help to develop a local guideline for treatment of migraine. ![]() Nevertheless, some situations require further evaluation, as in patients presenting with: sudden onset headache, first presentation after age of 50, atypical aura, neurological deficit, impaired level of consciousness, progressive headache, or change from a preexisting pattern, or headache with unexplained fever. Professional consensus does not support brain imaging or EEG for diagnosing migraine or distinguishing it from other primary headaches in patients identified through ICHD criteria. 4 Cluster headaches are differentiated from migraine in that they are commonly unilateral, surrounding an eye and associated with eye redness or nasal congestion. However, a single patient may have both migraine and tension headache. Tension headache, unlike migraine, is bilateral, has a pressing character, and is not aggravated by ordinary activities. 6 In addition, a detailed history is necessary to distinguish migraine from other headaches, such as tension or cluster headaches, for which they are frequently confused. 5 A headache diary in which a patient records headache frequency, severity, associated symptoms, trigger factors, and medications is very helpful in diagnosing headache disorders and evaluating the effectiveness of treatment. The diagnosis is often made clinically, depending on a patient’s history. Finally, we introduce drugs in different stages of development, which have novel mechanisms of action or have new therapeutic targets. Additionally, we highlight the prophylactic treatment of specific patient populations and present suggested treatment approaches in view of recent international treatment guidelines that consider factors other than drug efficacy when choosing the optimal preventive therapy. Here, we review migraine’s abortive and prophylactic medications, based on their pharmacologic category, citing their recommended doses, efficacy, and side effects. Recently, there have been major advances in the diagnosis and treatment of migraine, with different guidelines of migraine management across the world. A migraine challenges not only the patient suffering from the migraine, but also physicians especially in recognizing candidates for prophylaxis and selecting the appropriate preventive medication. Despite being one of the most common disabling primary headaches, migraine continues to be under-diagnosed and under-treated.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |