Acute Migraine Headache: Treatment Strategies
Migraine is a widespread health issue, affecting around 1 in every 5 women and around 1 in every 15 men. Many people also have Symptoms include a moderate or severe headache felt as a throbbing pain, as well as sickness and increased sensitivity to light or sound. Evidence supports the use of the "POUND" mnemonic for migraine diagnosis: Pulsatile, One-day, Unilateral, Nausea, Disabling intensity. An article published by Mayans L. et al suggests the key recommendations for practice, including a detailed differential diagnosis, Red Flag symptoms indicating the need for neuroimaging and general treatment principles. First-line medications recommended for acute migraine are: acetaminophen, NSAIDs and triptans. For refractory migraine, parenteral dihydroergotamine (DHE 45) is commonly used. Evidence-based treatment principles, as taking medication early in an attack and using a stratified therapy plan, can ensure the cost-effectiveness. All the details in the article.