AFP: American Family Physician Podcast Episode 230 -- May 2025 -- Part 2 AFP: American Family Physician
Jun 2, 2025
Discover the latest insights on migraine headache prevention and the shift from episodic to chronic treatments. Explore strategies for managing atrial fibrillation in patients with stable coronary artery disease. Learn about health maintenance tips tailored for postmenopausal women, including the role of testosterone in enhancing quality of life. Delve into effective pain control options for primary dysmenorrhea and the unique challenges of treating obstructive sleep apnea in children. Each topic offers valuable information for family practice.
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Migraine Prophylaxis Goals
- Migraine prophylaxis aims to reduce headache frequency and disability while improving patient control.
- Beta blockers, antiepileptics, and CGRP blockers form the expanding toolkit with tailored therapy key.
Migraine Prevention Strategies
- Use beta blockers like propranolol as widely used migraine preventives; consider topiramate and valproate but note tolerability.
- Manage triggers with hydration, weight control, and lifestyle modification as basic but essential.
Migraine Prophylaxis in Pregnancy
- Avoid migraine prophylaxis in pregnancy unless necessary; prefer beta blockers like propranolol and verapamil.
- Use propranolol, amitriptyline, magnesium, and Botox as generally safe during breastfeeding.