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Migraine Dx Connect

Migraine Prophylaxis

The 2021 American Headache Society Guidelines on the Principles of Preventive Migraine Treatment include:




  1. using evidence-based treatments

  2. titrating until clinical benefits are achieved

  3. giving each treatment a trial of at least 2–3 months

  4. avoiding overuse of acute treatments



Titration is not necessary with injectable preventive treatments, which are initiated at therapeutic doses and have a relatively rapid onset of action. Furthermore, it states that patients who have severe, disabling, or frequent migraine attacks, as well as those who cannot tolerate or are nonresponsive to acute treatment, should be considered for preventive treatment.



The decision to initiate preventive treatment should be based on:




  • the frequency of migraine attacks

  • average number of days with migraine

  • moderate/severe headache

  • degree of disability



What are the key factors that lead you to initiate migraine prophylaxis?



How do CGRPs fit into your treatment algorithm?



 



Reference:




  1. Ailani J, et al. (2021) The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice. Headache: The Journal of Head and Face Pain 61:1021-1039.


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Migraine Dx Connect

Migraine Prophylaxis

The 2021 American Headache Society Guidelines on the Principles of Preventive Migraine Treatment include:




  1. using evidence-based treatments

  2. titrating until clinical benefits are achieved

  3. giving each treatment a trial of at least 2–3 months

  4. avoiding overuse of acute treatments



Titration is not necessary with injectable preventive treatments, which are initiated at therapeutic doses and have a relatively rapid onset of action. Furthermore, it states that patients who have severe, disabling, or frequent migraine attacks, as well as those who cannot tolerate or are nonresponsive to acute treatment, should be considered for preventive treatment.



The decision to initiate preventive treatment should be based on:




  • the frequency of migraine attacks

  • average number of days with migraine

  • moderate/severe headache

  • degree of disability



What are the key factors that lead you to initiate migraine prophylaxis?



How do CGRPs fit into your treatment algorithm?



 



Reference:




  1. Ailani J, et al. (2021) The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice. Headache: The Journal of Head and Face Pain 61:1021-1039.


Show More Comments

  • Saved

Migraine Dx Connect

Migraine Prophylaxis

The 2021 American Headache Society Guidelines on the Principles of Preventive Migraine Treatment include:

  1. using evidence-based treatments
  2. titrating until clinical benefits are achieved
  3. giving each treatment a trial of at least 2–3 months
  4. avoiding overuse of acute treatments

Titration is not necessary with injectable preventive treatments, which are initiated at therapeutic doses and have a relatively rapid onset of action. Furthermore, it states that patients who have severe, disabling, or frequent migraine attacks, as well as those who cannot tolerate or are nonresponsive to acute treatment, should be considered for preventive treatment.

The decision to initiate preventive treatment should be based on:

  • the frequency of migraine attacks
  • average number of days with migraine
  • moderate/severe headache
  • degree of disability

What are the key factors that lead you to initiate migraine prophylaxis?

How do CGRPs fit into your treatment algorithm?

 

Reference:

  1. Ailani J, et al. (2021) The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice. Headache: The Journal of Head and Face Pain 61:1021-1039.

Show More Comments

  • Saved

Migraine Dx Connect

Migraine Prophylaxis

The 2021 American Headache Society Guidelines on the Principles of Preventive Migraine Treatment include:




  1. using evidence-based treatments

  2. titrating until clinical benefits are achieved

  3. giving each treatment a trial of at least 2–3 months

  4. avoiding overuse of acute treatments



Titration is not necessary with injectable preventive treatments, which are initiated at therapeutic doses and have a relatively rapid onset of action. Furthermore, it states that patients who have severe, disabling, or frequent migraine attacks, as well as those who cannot tolerate or are nonresponsive to acute treatment, should be considered for preventive treatment.



The decision to initiate preventive treatment should be based on:




  • the frequency of migraine attacks

  • average number of days with migraine

  • moderate/severe headache

  • degree of disability



What are the key factors that lead you to initiate migraine prophylaxis?



How do CGRPs fit into your treatment algorithm?



 



Reference:




  1. Ailani J, et al. (2021) The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice. Headache: The Journal of Head and Face Pain 61:1021-1039.


Show More Comments

  • Saved
Morbidity and mortality in obsessive-compulsive disorder: A narrative review

Morbidity and mortality in obsessive-compulsive disorder: A narrative review

Source : https://www.sciencedirect.com/science/article/pii/S0149763422000914?via=ihub

Obsessive-compulsive disorder (OCD) is associated with autoimmune disorders. * There is an association between OCD and metabolic and cardiovascular outcomes. * Preliminary evidence suggests a link with a broad range...


Conclusion/Relevance: Rapidly accumulating evidence indicates an association between OCD and autoimmune diseases, which is not limited to streptococcus-related conditions. Similarly, an association with metabolic and circulatory system diseases has been reported, which is at least partially independent from psychiatric comorbidities and...