Migraine Prevention and Prophylaxis Who to Consider: • ≥ 4 significant headaches or migraine attacks/month • ≥ 8 headache days/month • Medication-overuse headaches • Contraindications to acute migraine treatments • Severe/DisabIing symptoms • Significant impact on QOL Preventative Medications: • Metoprolol 50 mg PO bid • Amitriptyline 10 mg PO hs • Topiramate 25 mg PO hs Preventative Nutraceuticals: • Magnesium (citrate or glycinate) 200mg BID • Riboflavin (Vitamin B2) 200mg BID • Coenzyme Q 10 150mg BID • Melatonin 3-5mg qhs By Dr. Maeghan Fu & Dr. Miguel Cortel-LeBlanc #Migraine #treatment #prevention #prophylaxis #neurology #headache #management #Nutraceuticals
