23 results
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
Prophylaxis ... prophylaxis? ... headaches per month ... or at least 8 headache ... Pharmacology #Management #Neurology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
• In migraines ... : • Migraine: ... with aura > migraine ... > episodic migraine ... ophthalmology #Neurology
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment of Migraine ... BrighamChiefs #Migraine ... Treatment #management #neurology ... #headache #medications
Causes of Primary Headaches - Differential Diagnosis Algorithm
Unilateral
 • Migraine (Throbbing/Pulsating)
Bilateral
 • Tension/Stress Headache (Tightening, Band-Like,
Causes of Primary Headaches ... Unilateral • Migraine ... Tension/Stress Headache ... • Cluster Headache ... #Neurology #Differential
Drugs Useful in the Treatment and Prophylaxis of Migraine Headaches
Several classes of drugs are effective in
Treatment and Prophylaxis ... of Migraine Headaches ... headaches in about ... #Migraine #Headache ... #Treatment #Prophylaxis
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
Migraine Prevention ... and Prophylaxis ... or migraine attacks ... treatment #prevention #prophylaxis ... #neurology #headache
POUND Mnemonic for Diagnosis of Migraine Headache
P Is the headache Pulsatile in quality?
O Is the duration
for Diagnosis of Migraine ... Headache P Is ... the headache Pulsatile ... features LR 0.41 #Migraine ... #PrimaryCare #Neurology
Prophylactic Migraine Medications

Established Efficacy: 
 • Metoprolol, Propranolol, Timolol, Divalproex, Valproate, Topiramate, Frovatriptan
Probably Effective: 
 •
Prophylactic Migraine ... Cyproheptadine #Migraine ... #prophylaxis #Medications ... pharmacology #EBM #neurology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Secondary Headaches ... Systemic N - Neurologic ... P - Previous Headache ... Sx change Migraine ... secondary #management #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... 20 mg/min -> Neurology ... treatment #prevention #prophylaxis ... #neurology #cocktail ... #prophylaxis