Clinical CPD topic
Migraine: practise, reflect and record
Practise migraine through five clinical cases, review the explanations and build a professional learning record. Distinguish non-oral acute rescue from rimegepant eligibility after unsuccessful acute treatment.
First published · Sources checked
What you’ll work on
- Distinguish non-oral acute rescue from rimegepant eligibility after unsuccessful acute treatment.
- Select migraine prevention accounting for asthma and pregnancy plans.
- Apply reproductive prescribing safeguards for combined oral contraception and topiramate.
Think through a clinical case
Decide how you would approach this case before opening the question session.
An adult has disabling migraine attacks. Sumatriptan and rizatriptan caused reproducible intolerable chest symptoms, and appropriately dosed NSAIDs and paracetamol have not worked well enough in previous attacks. Which NICE-funded acute option now meets the stated criteria?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- 1 Recommendations | Rimegepant for treating migraine | Guidance | NICEUK source
- Recommendations | Headaches in over 12s: diagnosis and management | Guidance | NICEUK source
- Imigran Injection, Subject — UK SmPCUK source
- UK Medical Eligibility Criteria for Contraceptive Use 2025UK source
- Topiramate (Topamax): introduction of new safety measures, including a Pregnancy Prevention Programme - GOV.UKGOV.UKUK source
- Topamax 25 mg Tablets — UK SmPCUK source