Be careful not to exceed NSAID/Tylenol use >15 days a month for fear of medication overuse headache. In this patient case, it appears as if medication overuse headache is likely, so immediate cessation of those medications is warranted. Triptans are the next step in abortive pharmacological therapy. In patients having 3 or more migraines a month, consider prophylaxis with beta blockers, TCAS or anticonvulsants.
Card: Headache MC 006
