headache migraine FAQ

1. Lakshya J Basumatary DM
Consultant Neurologist
Excelcare Hospitals,Guwahati
Headache Therapy
10 FAQ

2. disclosure
• Nothing to disclose

7. Migraine treatment during pregnancy

9. U.S. Selected practice recommendations
for contraceptive use (CDC 2016)
Curtis et al, MMWR Recomm Rep 2016,65

11. Mamura et al, Headache 2015
Worthington I et al, Can J neurol Sci 2013
Dodick DW Lancet 2018

12. Marmura M et al, Headache 2015
Dodick DW, Lancet 2018

14. Becker WB Continuum 2015

16. Worthington I, et al. Can J Neurol Sci 2013
Worthington I, et al. Can J Neurol Sci 2013

17. Chen SP et al. Pain 2016
Oshinsky MI, et al Pain 2014
Akerman S, et al Neurobiol Disc 2017
Chen SP et al. Pain 2016
Oshinsky MI, et al Pain 2014
Akerman S, et al Neurobiol Disc 2017

20. Chou DE et al, Neuromodulation 2017

23. Silbertsein SDPract Neurol 2007
Holland S et al. Neurology 2012
Dodick DW Lancet 2018

24. Significant
interference with
ADL
Risk for progression
Acute medication
Ineffective,
contraindicated, AE,
overused
Uncommon
subtypes
Hemiplegic,
brainstem,
migrainous
infarction,
prolonged aura
Patient preference
When to start?

26. Silberstein SD et al. Neurology 2012

27. Silberstein SD et al. Neurology 2012

28. Simpson DM et al Neurology 2016

29. Blumenfeld A, J Headache Pain 2018

30. cefaly

31. Schoenen J et al, Neurology 2013
Schoenen J et al, Neurology 2013

32. Starling A, et al. Cephalgia 2018

33. Any tricks for prevention?

34. Holland PR Ann Neurol 2012
Afridi SK et al Neurology 2013

35. Blumenfeld A, et al Headache 2013

42. Treatment of migraine in ED: by the evidence

46. Lasmiditan
oral, centrally-penetrant, selective serotonin 5-HT1F
agonist

47. First oral calcitonin gene-related peptide
(CGRP) receptor antagonist

48. Attributes of Gepants

49. Questions??
Lakshya J Basumatary, DM
drbasumatary@gmail.com
99544 80668
@drbasumatary