Question 254 · LEK · Migraine headache
A 35-year-old patient presents to the family doctor with paroxysmal unilateral headaches lasting 4 to 48 hours. The pain is pulsating, worsened by physical activity and associated with nausea and photophobia. Neurologic examination is unremarkable. What is the most effective treatment that can be used to terminate the attack in this case?
- A. acetylsalicylic acid 500 mg.
- B. rimegepant 75 mg.
- C. propranolol 40 mg.
- D. valproic acid 500 mg.
- E. amoxicillin 500 mg.
Hint
Separate drugs that abort an attack from those used for prophylaxis, and consider whether the analgesic dose offered is adequate.
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