HeadWise

Dr. Lindsay Weitzel welcomes back Dr. Timothy Smith to discuss the real world data recently released on Nerivio as a treatment for migraine disease. Nerivio is a wireless remote electrical neuromodulation device for the acute treatment of migraine with or without aura in patients 18 years of age or older who do not have chronic migraine.

September is Intracranial Hypertension Awareness Month! Intracranial hypertension can cause headaches and other symptoms that can be confused with migraine. Dr. Lindsay Weitzel and Dr. Vincent Martin discuss symptoms, causes, and treatments related to this disorder. For more information, please visit www.headaches.org

Lundebeck has issued a press release on their latest migraine medication - Vyepti. It is great news for those of us living with migraine disease. Dr. Tim Smith and Dr. Lindsay Weitzel discuss what the latest data from the RELIEF study means for us.

Many people like to include devices in their treatment plans because they are non-invasive and have low side-effect profiles. Dr. Tim Smith and Dr. Lindsay Weitzel discuss and demonstrate four of the devices currently approved for the treatment of migraine and cluster headache: Cefaly, SAVI, GammaCore, and Nerivio.

New data was revealed this month on the upcoming gepant indicated for migraine prevention called Atogepant. Dr. Lindsay Weitzel questions Dr. Tim Smith about its safety and effectiveness. How will we take it and how often? Also, when will it be available?

There has been much debate about combination therapy with Botox and anti-CGRP monoclonal antibodies including Aimovig, Ajovy, and Emgality. The two medications were not originally studied together leaving physicians uncertain about prescribing practices and many insurance companies unwilling to pay for both treatments. Dr. Lindsay Weitzel talks to Dr. Tim Smith about recent data on prescribing these two medications together. What does this mean for our community?

Does yoga help your migraine disorder? Has it ever made it worse? A recent study published in Neurology showed that yoga can decrease the frequency and severity of migraine attacks when it is used as part of your care plan. Dr. Lindsay Weitzel chats with Adriane Dellorco, creator of "Yoga for Migraine" about the benefits of yoga and some of the precautions to take to be sure you enjoy the positive effects.

What to Expect from Your Migraine Pattern in Perimenopause and Menopause and What to Do About It - Do you know how your migraine pattern might change as you enter peri-menopause and menopause? Do you know how to treat it? How about what happens in relation to migraine after hysterectomy? Dr. Lindsay Weitzel talks to Dr. Jan Brandes about migraine and the transition around the time of menopause including all things related to hormone replacement therapy.

Do you struggle with the best way to treat migraine that occurs around the time of menstruation? Do providers shy away from discussions related to the use of hormones, oral contraceptives, and treatment of your menstrual migraine? Dr. Lindsay Weitzel talks to Dr. Jan Brandes about the treatment of menstrual migraine and menstrually-related migraine.

A Call to Action to Achieve Equity in Headache Medicine, and discover the importance of having your voice be heard. Dr. Lindsay Weitzel and Dr. Larry Charleston IV, discuss a timely Request for Information (RFI) from the National Institute of Neurological Disorders and Stroke (NINDS) on the health disparities and inequities in headache medicine. The deadline to submit comments is Wednesday, July 15th. We hope that patients, caregivers, and healthcare professionals will all participate. Here is the link to the RFI: https://www.ninds.nih.gov/RFI-NOT-NS-20-026