Do you counsel patients to acutely treat migraine with aura at the onset of aura or headache?
Typically, neurologists were taught to treat with triptans at the onset of headache pain. Do you still follow this teaching, or do you treat at the onset of aura, especially using the new gepant medications?
Answer from: at Academic Institution
The timing of acute treatments for migraine attacks has been widely discussed for a number of years. Here are some principles:
Once the pain begins, pain-free rates are higher if the patient treats early in the attack, while the pain is still mild. This is broadly true for triptans, NSAIDs, aspir...