Pharmacologic Management of Migraine
Authors: Andrew J. Dowson, Roger K. Cady, Stewart J. Tepper, Timothy R. Smith, Gary Shapero
Journal: Annals of Internal Medicine (2004)

Letters16 March 2004Pharmacologic Management of MigraineAndrew J. Dowson, MB, Roger K. Cady, MD, Stewart J. Tepper, MD, Timothy R. Smith, MD, and Gary Shapero, MDAndrew J. Dowson, MBFrom The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada.Search for more papers by this author, Roger K. Cady, MDFrom The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada.Search for more papers by this author, Stewart J. Tepper, MDFrom The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada.Search for more papers by this author, Timothy R. Smith, MDFrom The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada.Search for more papers by this author, and Gary Shapero, MDFrom The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-6-200403160-00031-w1 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Snow and colleagues (1) provided clinical guidelines for the management of migraine by primary care physicians. Although these guidelines generally follow those published by the U.S. Headache Consortium (2), several issues relating to their advice may result in suboptimal care in clinical practice.All recently published evidence-based guidelines for migraine management, including those of the U.S. Headache Consortium (2), the U.S. Primary Care Network (3), and the U.K. Migraine in Primary Care Advisors (4), provide evidence for and recommend a strategy of individualized care for migraine. The therapy is chosen on the basis of the historic pattern ...References1. Snow V, Weiss K, Wall EM, Mottur-Pilson C. Pharmacologic management of acute attacks of migraine and prevention of migraine headache. Ann Intern Med. 2002;137:840-9. [PMID: 12435222] LinkGoogle Scholar2. Silberstein SD. Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2000;55:754-62. [PMID: 10993991] Available at www.neurology.org/cgi/reprint/55/6/754.pdf. Google Scholar3. Bedell AW, Cady RK, Diamond ML, Farmer KU, Friesen CP, Johnson JM, et al . Patient-Centered Strategies for Effective Management of Migraine. Springfield, MO: Primary Care Network; 2000. Google Scholar4. Dowson AJ, Lipscombe S, Sender J, Rees T, Watson D. New guidelines for the management of migraine in primary care. Curr Med Res Opin. 2002;18:414-39. [PMID: 12487508] CrossrefMedlineGoogle Scholar5. Lipton RB, Diamond S, Reed M, Diamond ML, Stewart WF. Migraine diagnosis and treatment: results from the American Migraine Study II. Headache. 2001;41:638-45. [PMID: 11554951] CrossrefMedlineGoogle Scholar6. Lipton RB, Stewart WF, Stone AM, Lainez MJ, Sawyer JP. Stratified care vs step care strategies for migraine: the Disability in Strategies of Care (DISC) Study: a randomized trial. JAMA. 2000;284:2599-605. [PMID: 11086366] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPharmacologic Management of Acute Attacks of Migraine and Prevention of Migraine Headache Vincenza Snow , Kevin Weiss , Eric M. Wall , Christel Mottur-Pilson , and Metrics 16 March 2004Volume 140, Issue 6Page: W-26KeywordsAspirinDrug therapyDrugsHeadachesMigraineNSAIDsPharmacoeconomicsPrimary care physiciansSubcutaneous injectionsVomiting ePublished: 16 March 2004 Issue Published: 16 March 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. 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