Criteria for preventative migraine treatment

As outlined on the slide, patients with migraine should be considered for preventative migraine treatment based on attack frequency, associated disabilities and the consequences this may have for the patient.^{[AHS, 2019; Steiner et al. 2019]} Part of identifying patients for preventative treatment involves reviewing patient history, and recognising that patients with poorly controlled migraine attacks are at risk of medication overuse or misuse.^{[AHS, 2019]} In general, the criteria underline the need for individual assessment and knowledge of the local practice guidelines. In addition, active follow-up is recommended and the use of headache calendars to assess the effect of treatment.^{[Ashina et al., 2021; Steiner et al., 2019]}

References:
American Headache Society. The American Headache Society position statement on integrating new migraine treatments into clinical practice. Headache 2019; 59 (1): 1–18.

Ashina M, Buse DC, Ashina H et al. Migraine: integrated approaches to clinical management and emerging treatments. Lancet 2021; 397:1505-18.

Steiner TJ, Jensen R, Katsarava Z, et al. Aids to management of headache disorders in primary care (2nd edition). J Headache Pain 2019; 20(1): 57.