Revisiting pediatric migraine: preventive medications, part 1

In this post, I revisit the prescribing a daily medication for migraine prophylaxis, the standard medications for those under age 18. I use one migraine/week as a benchmark for considering a daily preventive medication. Here’s some good information on the basic daily medications that pediatric primary care providers could start for their patients with frequent … Continue reading Revisiting pediatric migraine: preventive medications, part 1

Revisiting migraine: supplements

Primary preventive measures to reduce migraine, such as the healthy headache lifestyle, are key to keeping migraine frequency to a minimum. But even though your patient is really working hard with the multidisciplinary approach, your patient is still having frequent migraines which significantly impact their functioning.  When do you consider adding a daily medication to … Continue reading Revisiting migraine: supplements

Revisiting migraines part 4: adjuvant medications and combination therapies

My last posts have focused on migraine abortives and analgesia for kids with migraine. Here I will continue to review medications and strategies for rescue, focusing on adjuvants and combination medications. These medications are the 3rd leg of the plan which are used to treat migraine. .  There are several medications that are used either … Continue reading Revisiting migraines part 4: adjuvant medications and combination therapies

Back to school, bring on the stress; psychiatric comorbidities and headache

In my part of the country, there has been a gradual transition from remote learning to hybrid learning to full in-person learning, starting this spring. And as we all experience, there are significant stressors with all this change. Kids are happy to be back at school with their friends, teachers, feeling sort of ‘back to … Continue reading Back to school, bring on the stress; psychiatric comorbidities and headache

Migraine and headache and pain conditions

Ever notice that your patients with migraine and headache often have other medical issues? Well, there are a number of common coexisting medical conditions which are often associated with migraine and headache. Frequently these issues are associated with pain, and are referred to as overlapping pain conditions. Examples of these types of overlapping pain conditions … Continue reading Migraine and headache and pain conditions