A Rational Approach to the Management of Chronic Migraine

  title={A Rational Approach to the Management of Chronic Migraine},
  author={R. Evans},
  journal={Headache: The Journal of Head and Face Pain},
  • R. Evans
  • Published 2013
  • Medicine
  • Headache: The Journal of Head and Face Pain
  • About 2% of the adult population has chronic migraine with only 20% diagnosed with this disorder. Those with medication overuse may improve with withdrawal of overuse medications. The intravenous dihydroergotamine regimen usually produces short‐term benefit for those with medically refractory chronic migraine. OnabotulinumtoxinA and topiramate have shown efficacy in large placebo‐controlled randomized trials. Sodium valproate, gabapentin, tizanidine, amitriptyline, fluoxetine, zonisamide, and… CONTINUE READING
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