Fast Five Quiz: Migraine Prevention and Treatment

Helmi L. Lutsep, MD


February 04, 2022

Figure 2. Illustration of patient with migraine.

Nonpharmacologic therapy can be a good choice for several groups of people, including those who are pregnant, lactating, or planning a pregnancy; those who have overused medication; and those with deficient stress-coping skills. In addition, people who are unable to tolerate medication or those for whom medication is contraindicated may benefit from nonpharmacologic treatment.

While biobehavioral therapies can be used alone or in combination with medications, evidence suggests that the combination treatment is more beneficial. Cognitive-behavioral therapy, biofeedback, and relaxation are effective for both acute treatment and prevention of migraine; for the latter indication, evidence is Grade A.

Following clinical trials demonstrating safety and efficacy, the FDA has cleared single‐pulse transcranial magnetic stimulation for the acute and preventive treatment of migraine; electrical trigeminal nerve stimulation for the acute and preventive treatment of migraine; and noninvasive vagus nerve stimulation for the acute treatment of migraine.

Learn more about the nonpharmacologic treatment of migraine.


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