A 34-year-old woman experiences recurrent unilateral throbbing headaches associated with photophobia and nausea, occurring twice per month and lasting...

Question

A 34-year-old woman experiences recurrent unilateral throbbing headaches associated with photophobia and nausea, occurring twice per month and lasting up to 24 hours. Simple analgesics usually relieve the pain. Neurological examination is normal. What is the most appropriate management?

Accepted Answer

Continue acute treatment with simple analgesia and consider triptans without starting prophylaxis

Answer

Start daily propranolol for migraine prophylaxis

Answer

Commence daily topiramate

Answer

Start chronic opioid therapy

Answer

Request urgent MRI brain for all migraine

au-amc MCQ (SBA): Migraine management

A 34-year-old woman experiences recurrent unilateral throbbing headaches associated with photophobia and nausea, occurring twice per month and lasting up to 24 hours. Simple analgesics usually relieve the pain. Neurological examination is normal. What is the most appropriate management?