Migraine Prevention and Prophylaxis
Who to Consider: ...

Migraine Prevention and Prophylaxis

Who to Consider: 

 • ≥ 4 significant headaches or migraine attacks/month

 • ≥ 8 headache days/month

 • Medication-overuse headaches

 • Contraindications to acute migraine treatments

 • Severe/DisabIing symptoms

 • Significant impact on QOL

Preventative Medications:

 • Metoprolol 50 mg PO bid 

 • Amitriptyline 10 mg PO hs

 • Topiramate 25 mg PO hs

Preventative Nutraceuticals:

 • Magnesium (citrate or glycinate) 200mg BID

 • Riboflavin (Vitamin B2) 200mg BID

 • Coenzyme Q 10 150mg BID

 • Melatonin 3-5mg qhs

By Dr. Maeghan Fu & Dr. Miguel Cortel-LeBlanc

#Migraine #treatment #prevention #prophylaxis #neurology #headache #management #Nutraceuticals
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

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