<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy
tiddler.title
ascending
write '"*[["+tiddler.title+"]]\n"'>>
<<tiddler AutoRefresh with: force>>
''Mx''
5HT agonists for acute Rx - Zolmitriptan
5HT antagonists for prophylaxis - Topiramate or Propranolol (better for women)
''Acute'' - oral triptan plus NSAID or PCM
if teenager - nasal triptan
if needed add in non-oral metoclopramide (beware acute dystonia in young) or prochlorperazine +/- non-oral NSAID or triptan
''Prophylaxis''
If 2 or more per month
effective in 60%
Topiramate or propranolol (better in child bearing age women as topiramate is ?teratogenic)
2nd line acupuncture (10 sessions over 5-8/52) or gabapentin
Riboflavin (400mg od) may be helpful
predictable menstrual migraine - use frovatriptan (2.5mg bd) or zolmitriptan (2.5mg bd/tds)
Pizotifen - avoid (wt gain and drowsy)
COCP is CI