Question

A 46-year-old woman with severe migraine without aura (12 days/month) has failed propranolol and topiramate due to adverse effects. Which preventive option is now considered first-line by specialty society statement?

Accepted Answer

CGRP monoclonal antibody therapy

Answer

OnabotulinumtoxinA only

Answer

Chronic opioids

Answer

Daily NSAIDs

Answer

No preventive therapy; treat acutely only

Practice question

A 46-year-old woman with severe migraine without aura (12 days/month) has failed propranolol and topiramate due to adverse effects. Which preventive option is now considered first-line by specialty society statement?