Many patients with migraine do not seek medical attention and self-medicate. They are often unaware of the modern treatments for migraine, which now offer an effective means of managing their condition.
- Migraine is a common condition that is often managed suboptimally.
- Acute treatment is best initiated early in the course of a migraine attack, partly because gastric stasis may affect treatment efficacy.
- Prophylaxis is effective and underused.
- Beware of medication overuse, which can increase headache frequency and decrease the effectiveness of prophylactic agents.
- If the diagnosis is unclear or management is ineffective, consider referring the patient to a neurologist.