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American Journal of Lifestyle Medicine
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Modern Management of the Migraine Headache

Kimberly A. Pesaturo, PharmD

Department of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences, Worcester, Massachusetts, kimberly.pesaturo{at}mcphs.edu

Fae G. Wooding, PharmD

Department of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences, Worcester, Massachusetts

Migraine headache is a debilitating disorder that affects millions of people in the United States and worldwide. The diagnosis of migraine can significantly affect quality of life, health care costs, and daily productivity. Hundreds of trials and many guidelines have documented various approaches to migraine management, whether via acute treatment or chronic migraine prophylaxis. Acute or abortive migraine management encompasses specific and nonspecific migraine therapeutics, including nonopioid and opioid analgesics, triptans, and ergotamines. Prophylactic migraine management data span the pharmacological spectrum from antiepileptic and antihypertensive agents to botulinum toxin type A. Special considerations for migraine management also must be applied in various populations, including children, pregnant women, and the elderly. The following review serves as an introduction to current therapeutic approaches for acute migraine treatment and provides an overview of available literature for pharmacological prophylaxis.

Key Words: migraine • headache • acute • treatment • prophylaxis

This version was published on March 1, 2009

American Journal of Lifestyle Medicine, Vol. 3, No. 2, 147-159 (2009)
DOI: 10.1177/1559827608327916
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