adequate prophylaxis for migraines

Too few patients are getting adequate prophylaxis for migraines.

Consider prophylaxis for patients who have 3 or more headache days a month...or anyone with debilitating symptoms.

Also use prophylaxis if patients use acute meds...Vicodin, Fiorinal, triptans, or even Excedrin, etc...more than 2 or 3 days per week for headaches. Explain that frequent use can actually make them worse.

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