Podcast
Questions and Answers
Which medication is the first-line choice for migraine prophylaxis?
Which medication is the first-line choice for migraine prophylaxis?
When is prophylaxis appropriate for chronic headaches?
When is prophylaxis appropriate for chronic headaches?
Which medication may be useful for chronic headaches without depression?
Which medication may be useful for chronic headaches without depression?
What is the potential benefit of lidocaine trigger point injections?
What is the potential benefit of lidocaine trigger point injections?
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What is the efficacy of botulinum toxin injections for chronic headaches?
What is the efficacy of botulinum toxin injections for chronic headaches?
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Study Notes
Migraine Prophylaxis
- Topiramate is the first-line choice for migraine prophylaxis.
Prophylaxis Indications
- Prophylaxis is appropriate for chronic headaches when the patient experiences 15 or more headache days per month.
Treatment Options
- Valproate may be useful for chronic headaches without depression.
Lidocaine Injections
- Lidocaine trigger point injections may provide a potential benefit of immediate pain relief.
Botulinum Toxin Injections
- Botulinum toxin injections have a 50% response rate for chronic headaches, meaning that 50% of patients experience a 50% or greater reduction in headache frequency.
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Description
Test your knowledge on migraine prophylaxis options and comorbidities with this quiz. Learn about first-line choices, the use of SSRIs for comorbid depression, and the benefits of venlafaxine or mirtazapine.
