Question

A 42-year-old woman has recurrent episodes of unilateral throbbing headaches associated with nausea, photophobia, and phonophobia lasting several hours. She has at least four attacks per month. What prophylactic medication is recommended first-line?

Accepted Answer

Propranolol

Answer

Topiramate

Answer

Amitriptyline

Answer

Verapamil

Answer

Botulinum toxin injections

Practice question

A 42-year-old woman has recurrent episodes of unilateral throbbing headaches associated with nausea, photophobia, and phonophobia lasting several hours. She has at least four attacks per month. What prophylactic medication is recommended first-line?