TreatmentPharmacological treatment methods available for MM include acute therapy, short- and long-term prophylaxis, and hormonal therapy. Though MM tends to be severe and pharmacological management is usually necessary, nonpharmacologic treatments, such as ice, heat, and peppermint oil, can be
beneficial as adjunct therapy or to treat nonpain symptoms, such as nausea and vomiting.
Before initiating pharmacologic therapy, the practitioner should review with the patient possible lifestyle changes for alleviating or avoiding migraine. Sufficient sleep, exercise, and water, as well as avoiding certain substances like caffeine, chocolate, and alcohol, can lessen migraine attacks or diminish severity.Clients, especially those with MRM, should be encouraged to record information on these possible triggers in their headache diaries, especially for those migraines not occurring on days −2 to +3.
When considering treatment for MM, assessing headache frequency and predictability is key. For clients with infrequent attacks, acute therapy is usually sufficient. If attacks are frequent or respond poorly to acute therapy, the provider should consider the predictability of the headaches. Predictable headaches can be treated with short-term prevention methods. If headaches are unpredictable, the provider could consider long-term continuous therapy....read more
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