Migraine

Question 1

The usual presentation of Migraine

Answer 1

preceding visual aura

unilateral, throbbing headache associated with nausea and photophobia

Question 2

Treating the Prophylaxis of Migraine?

Answer 2

NICE CKS advise one of the following:

-propranolol

-topiramate:
should be avoided in women of childbearing age as it may be teratogenic and it can reduce the effectiveness of hormonal contraceptives

-amitriptyline

Question 3

Acute treatment of migraine?

Answer 3

first-line: offer combination therapy with
an oral triptan and an NSAID, or
an oral triptan and paracetamol

nasal triptan for 12-17