Question

A 26-year-old woman has recurrent severe unilateral throbbing headaches with photophobia and nausea lasting several hours. Neurological examination is normal. She has four attacks per month despite adequate acute therapy. What is the most appropriate first-line prophylactic medication?

Accepted Answer

Propranolol

Answer

Amitriptyline

Answer

Topiramate as first-line in all

Answer

Carbamazepine

Answer

Long-term Opioids

Practice question

A 26-year-old woman has recurrent severe unilateral throbbing headaches with photophobia and nausea lasting several hours. Neurological examination is normal. She has four attacks per month despite adequate acute therapy. What is the most appropriate first-line prophylactic medication?