Contents:

Introduction

Diagnosis and Clinical Evaluation

Patient Education and Lifestyle Recommendations

Pharmacotherapy and Other Medical Treatments

Nonpharmacologic Treatment of Migraine

This handbook is a clinically-focused guide on the diagnosis and evidence-based treatment of migraine, the third most common medical condition on the planet. It is a concise yet thorough guide for management of migraine in clinical practice settings as informed by current scientific literature and clinical guidelines. This handbook incorporates diagnostic criteria from the most recent edition of the International Classification of Headache Disorders (ICHD-3). The first half of the handbook provides information on assessment of migraine (including headache red flags and indications for neuroimaging), screening for common comorbid conditions, and essential lifestyle recommendations for all migraine patients. The second half covers both acute and preventive headache medications and relevant treatment algorithms and indications, as well as other medical therapies and behavioral interventions for migraine. This clinician’s manual is easy to read and includes numerous tables and other content valuable to all providers wanting a go-to resource on clinical management of migraine. It is an ideal companion for busy general practitioners and neurologists, nurses and mid-level providers, neurology trainees and residents, as well as patients wishing to gain a better understanding of their condition. Common terms and phrases: acute agents acute medications acute migraine acute treatment almotriptan American Headache Society amitriptyline analgesics antiemetic assessment aura symptoms behavioral therapies Bigal biofeedback Botulinum caffeine Cephalalgia chronic migraine Classification of Headache Clinician’s Manual clinicians combination analgesics commonly comorbid daily days per month developed diagnostic criteria dose drug efficacy for migraine eletriptan episodic migraine Ergotamine Frovatriptan functioning giant cell arteritis headache activity headache attacks headache diary headache disorders headache frequency headache onset headache triggers headache-related disability impairment injection insomnia International Classification intracranial Lipton RB Manual on Migraine medical conditions medication overuse menstruation MIDAS migraine attacks migraine patients Migraine Prevalence migraine prevention migraine treatments migraine with aura migraineurs naproxen naratriptan nausea neuroimaging Neurology nonpharmacologic NSAIDs obese occur opioids pain-free response Penzien DB pharmacotherapy photophobia placebo preventive medications preventive pharmacotherapy preventive treatment psychiatric rizatriptan severe sleep stress management sumatriptan tion topiramate treatment of migraine triptans typically visual zolmitriptan