Migraine (prevention)
- Prevent if frequent/disabling or overusing acute meds
- CGRP mAbs/gepants are now first-line options
- Also topiramate, beta blockers, valproate
- Amitriptyline useful with sleep/pain
- Match choice to comorbidity + pregnancy risk
- Give an adequate trial; track migraine days
Use at a glance
- Prevent if frequent/disabling or overusing acute meds
Treatment options
- CGRP mAbs/gepants are now first-line options
Practical pearls
- Also topiramate, beta blockers, valproate
- Give an adequate trial; track migraine days
Other practical pearls
- Amitriptyline useful with sleep/pain
Clinical pearls
- Match choice to comorbidity + pregnancy risk
Self-check
- What should guide choice in Migraine (prevention)?
comorbidity + pregnancy risk.
Drugs used for this (11)
All clinical uses · Open the interactive console ↗