Disease modifying treatment available:
Time critical diagnosis and management:
Lateralising:
| Supercategory | |
|---|---|
| Migraine |
| Laboratory Investigation | Result |
|---|
The management of migraine can be thought of as consisting of three pillars:
1) Conservative management
2) Treating associated co-morbidities
3) Termination of acute attacks
4) Prevention
First line management strategies include ensuring adequate hydration, encouraging regular mealtimes, optimising sleep and reducing stress. Keeping a headache diary may be useful for identifying triggers, avoidance of which can then be useful.
The treatment of co-morbidities such as depression, anxiety, insomnia and sleep apnoea optimises outcome. Medication overuse headache should be considered and treated if co-existent pathology is suspected.
Oestrogen-containing contraceptives are cautioned in those with migraine with aura because of an increased risk of thromboembolism.
Optimal treatment of menstrual-related migraine