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Neurology® Podcast

Global Recommendations for Migraine

Mar 24, 2025
Francesca Puledda, a neurologist from King's College London and author of the International Headache Society's guidelines, shares valuable insights on migraine management. She highlights the importance of tailoring treatment to individual patient needs and regional medication availability. The discussion covers acute treatments like triptans, unique considerations for pregnant women, and the complexities of preventive therapies. Puledda emphasizes a patient-centric approach that balances diverse options with satisfaction, ensuring comprehensive care for migraine sufferers.
26:00

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Quick takeaways

  • The International Headache Society's guidelines offer a two-tiered approach to migraine treatment, addressing varying medication availability globally.
  • Early administration of triptans is crucial for acute migraine relief, while preventive treatments should be personalized based on frequency and patient preferences.

Deep dives

Global Practice Guidelines for Migraine Treatment

The International Headache Society developed comprehensive practice guidelines for the treatment of migraines, taking into account the global variability in medication availability. These recommendations are structured into two levels: optimal and essential, aiming to provide evidence-based guidance while ensuring accessibility for healthcare providers worldwide. For instance, the optimal level suggests advanced pharmacological treatments, while the essential level includes options based on expert opinion for areas with less medication availability. This approach allows for a more inclusive set of recommendations applicable in diverse clinical settings.

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