So your patient has developed chronic migraine, which is defined as 3-4 migraine per week, 15 migraine days per month, and is predictably miserable. Developing chronic migraine does happen in pediatrics, but it happens much more often in older teens and adults. You’ve done what you could to prevent it from happening: did a course … Continue reading Chronic migraine, what to do?
So when does episodic migraine transform into chronic migraine? Well, it’s a matter of frequency. The International Headache Society defines chronic migraine as more than 15 headache days per month over a three month period of which more than eight are migrainous, in the absence of medication over use (2-3+ times per week). Often your … Continue reading When migraine turns chronic
In this post, I am going to discuss the ins and outs of prescribing a daily medication for migraine prophylaxis. In the last post, I identified one migraine/week as a benchmark for considering a daily preventive medication. Here’s the run down on the basic daily meds that primary care providers could start for their patients … Continue reading Daily medications for migraines, part 2