Acute Treatment of Migraine


Only 50% of patients with migraine have seen a physician. Only two-thirds of patients who have seen a physician have been correctly diagnosed with migraine and prescribed migraine-specific treatments. Mild to moderate headaches may respond to NSAIDs, Tylenol, or Excedrin. If they fail, triptans are the treatment of choice. There are 3 brands and 4 generic preparations, and they are available in oral, nasal, and injectable formulations. A new transdermal delivery system is available. When taken early in the attack, response is much higher. Frequency should be limited to 2 or at most 3 days a week to reduce the risk of medication-overuse headaches (rebound headaches).

Dr. Florin is committed to treating all patients compassionately with state-of-the-art techniques while maintaining their dignity and independence. He views each patient encounter as a collaboration. Dr Florin has over 35 years of experience. He is Adjunct Clinical Professor at Keck School of Medicine (USC) and is the founder and medical director of the Fullerton Neurology and Headache Center. He has been recognized by the Orange County Medical Association as a Physician of Excellence in Neurology. US News and World Report ranks him in the top 10% of neurologists nationwide.

Posted in Headache Articles

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