Fast Five Quiz: Migraine Prevention and Treatment

Helmi L. Lutsep, MD


February 04, 2022

Figure 3. Brain scan showing migraine.

The use of triptans as first-line migraine medication is supported by consistent, good-quality, patient-oriented evidence. Consensus opinion calls for tailoring the choice of triptan to the patient's migraine type and to cost, route, and pharmacokinetics.

NSAIDs are among a large group of effective nonspecific medications for acute migraine. Others include acetaminophen, sumatriptan/naproxen, and acetaminophen/aspirin/caffeine combinations.

Triptans and other acute medications should be used no more than two to three times per week. Opioids as well as butalbital should be used only as a last resort.

Learn more about the abortive treatment of migraine.


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