When is prophylactic therapy indicated for migraine headache?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

The following may be considered indications for prophylactic migraine therapy:

  • Frequency of migraine attacks is greater than 2 per month

  • Duration of individual attacks is longer than 24 hours

  • The headaches cause major disruptions in the patient's lifestyle, with significant disability that lasts 3 or more days

  • Abortive therapy fails or is overused

  • Symptomatic medications are contraindicated or ineffective

  • Use of abortive medications more than twice a week

  • Migraine variants such as hemiplegic migraine or rare headache attacks producing profound disruption or risk of permanent neurologic injury [5]


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