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Migraine acute treatment — ABFM Board MCQ

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EasyNeurologyMigraine acute treatmentABFM Board

A 29-year-old woman has moderate migraine attacks twice monthly. Ibuprofen provides incomplete relief. She has no cardiovascular disease, pregnancy, or hemiplegic aura. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DOral sumatriptan for acute attacks

Triptans are appropriate acute therapy for moderate to severe migraine in patients without contraindications.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html