Question

A 30-year-old woman has recurrent migraines occurring twice monthly, with significant functional impairment despite appropriate acute therapy. What is the most appropriate next step?

Accepted Answer

Start preventive therapy such as a beta-blocker or topiramate

Answer

No further treatment is needed

Answer

Use opioids for acute attacks

Answer

Avoid all pharmacological treatments

Answer

Refer immediately for neurosurgical intervention

Practice question

A 30-year-old woman has recurrent migraines occurring twice monthly, with significant functional impairment despite appropriate acute therapy. What is the most appropriate next step?