A 38 year old woman presents to your office with 3 months of recurrent headaches. The headache is a unilateral, throbbing headache with associated nausea which lasts 1- 3 days. The patient has been taking ibuprofen and acetaminophen regularly every day for the past 2 months. The pain is now daily. There has been no morning vomiting, vision changes or focal neurological symptoms.

What is the most appropriate pharmacological therapy?

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Authors

Dr. Trevor Luk

tynluk@ucalgary.ca

Dr. David Keegan

dkeegan@ucalgary.ca

Reviewer

Eoghan O'Shea

eooshea@toh.on.ca