How are migraine variants (equivalents) treated?

Updated: Oct 16, 2019
  • Author: Rima M Dafer, MD, MPH, FAHA; Chief Editor: Helmi L Lutsep, MD  more...
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The first step in treatment is to establish the diagnosis. Once the syndromes are recognized, migraine variants respond to typical migraine preventive medications.

Treatment is divided into 3 components:

  • Elimination of specific triggers

  • Acute management of attacks

  • Long-term prevention

Patients should follow risk factor modifications, including smoking cessation, and they should avoid the use of hormonal replacement therapy and birth control pills, both of which could potentially increase the risk of hypercoagulability in migraineurs.

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