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What Comes Next: A Patient Case With Preventive Migraine Treatment

Sam suffers from 8 migraine days/month, interfering with work and family life. She tried propranolol 80 mg/day for 2 months but her migraine did not improve. She then tried topiramate 100 mg/day for 3 months, but she still has 6 migraine days/month (at least one migraine day per week). How would you proceed?