Prevention of migraine attacks

Preventive (also called prophylactic) treatment of migraine can be an important component of migraine management. The goals of preventive therapy are to reduce the frequency, painfulness, and/or duration of migraine attacks, and to increase the effectiveness of abortive therapy.^[1]^[2] Another reason to pursue prevention is to avoid medication overuse headache (MOH), otherwise known as rebound headache, which can arise from overuse of pain medications, and can result in chronic daily headache.^[3]^[4]^[5] Preventive treatments of migraine include medications, nutritional supplements, lifestyle alterations, and surgery. Prevention is recommended in those who have headaches more than two days a week, cannot tolerate the medications used to treat acute attacks, or those with severe attacks that are not easily controlled.^[6]

^ Modi S, Lowder DM (January 2006). "Medications for migraine prophylaxis". American Family Physician. 73 (1): 72–78. PMID 16417067. Archived from the original on 2 March 2020. Retrieved 19 February 2010.
^ Ha H, Gonzalez A (January 2019). "Migraine Headache Prophylaxis". American Family Physician. 99 (1): 17–24. PMID 30600979. Archived from the original on 5 April 2023. Retrieved 25 August 2023.
^ Diener H, Limmroth V; Limmroth (2004). "Medication-overuse headache: a worldwide problem". The Lancet Neurology. 3 (8): 475–83. doi:10.1016/S1474-4422(04)00824-5. PMID 15261608. S2CID 43840120.
^ Diener HC, Limmroth V (August 2004). "Medication-overuse headache: a worldwide problem". The Lancet. Neurology. 3 (8): 475–483. doi:10.1016/S1474-4422(04)00824-5. PMID 15261608. S2CID 43840120.
^ Fritsche G, Diener HC (November 2002). "Medication overuse headaches -- what is new?". Expert Opinion on Drug Safety. 1 (4): 331–338. doi:10.1517/14740338.1.4.331. PMID 12904133. S2CID 23422679.
^ Gilmore B, Michael M (February 2011). "Treatment of acute migraine headache". American Family Physician. 83 (3): 271–280. PMID 21302868.

[AFP06012-1] Modi S, Lowder DM (January 2006). "Medications for migraine prophylaxis". American Family Physician. 73 (1): 72–78. PMID 16417067. Archived from the original on 2 March 2020. Retrieved 19 February 2010.

[2] Ha H, Gonzalez A (January 2019). "Migraine Headache Prophylaxis". American Family Physician. 99 (1): 17–24. PMID 30600979. Archived from the original on 5 April 2023. Retrieved 25 August 2023.

[MOHlancet-3] Diener H, Limmroth V; Limmroth (2004). "Medication-overuse headache: a worldwide problem". The Lancet Neurology. 3 (8): 475–83. doi:10.1016/S1474-4422(04)00824-5. PMID 15261608. S2CID 43840120.

[MOHlancet2-4] Diener HC, Limmroth V (August 2004). "Medication-overuse headache: a worldwide problem". The Lancet. Neurology. 3 (8): 475–483. doi:10.1016/S1474-4422(04)00824-5. PMID 15261608. S2CID 43840120.

[5] Fritsche G, Diener HC (November 2002). "Medication overuse headaches -- what is new?". Expert Opinion on Drug Safety. 1 (4): 331–338. doi:10.1517/14740338.1.4.331. PMID 12904133. S2CID 23422679.

[Gilmore2011-6] Gilmore B, Michael M (February 2011). "Treatment of acute migraine headache". American Family Physician. 83 (3): 271–280. PMID 21302868.

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