Лечение мигрени

#migraineawareness2021 How to treat migraine? Current therapies for migraine include acute medications, preventive medications, and non-pharmacologic therapies. It should be emphasized that medication therapy is the mainstay of migraine care since there is limited evidence to support broader use of non-pharmacologic therapies. Acute medications are, as the name implies, used to treat acute migraine attacks and should be taken early in the headache phase when pain is still mild. This improves chances of therapeutic success, but caution is needed to avoid regular overuse which can contribute to the development of medication-overuse headache. It is recommend that all patients with migraine be offered acute medications. Acute medications with evidence-based effectiveness include non steroidal anti-inflammatory drugs, triptans, gepants, and ditans, whereas opioids, barbiturates and oral ergot alkaloids are considered medications to avoid. Antiemetics are useful oral adjuncts for patients who experien