A 30-year-old woman presents with recurrent unilateral throbbing headaches lasting 12-24 hours, associated with nausea, photophobia and phonophobia. N...

Question

A 30-year-old woman presents with recurrent unilateral throbbing headaches lasting 12-24 hours, associated with nausea, photophobia and phonophobia. Neurological examination and imaging are normal. She has approximately two attacks per month. What is the most appropriate acute treatment?

Accepted Answer

Sumatriptan 50-100 mg orally at onset of headache

Answer

Regular daily propranolol

Answer

Paracetamol 1 g daily for headache prevention

Answer

Amitriptyline 25 mg at night

Answer

Ergotamine regularly at onset of aura

au-amc MCQ (SBA): Migraine without aura

A 30-year-old woman presents with recurrent unilateral throbbing headaches lasting 12-24 hours, associated with nausea, photophobia and phonophobia. Neurological examination and imaging are normal. She has approximately two attacks per month. What is the most appropriate acute treatment?