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Pharmacologic Management of Migraine
- Andrew J. Dowson, MB;
- Roger K. Cady, MD;
- Stewart J. Tepper, MD;
- Timothy R. Smith, MD; and
- Gary Shapero, MD
- From The King's Headache Service, King's College Hospital, London SE5 9RS, United Kingdom; Headache Care Center and Primary Care Network, Springfield, MO 65804; New England Center for Headache, Stamford, CT 06902; Mercy Health Research, St. Louis, MO 63017; and Markham Headache and Pain Treatment Center, Unionville, Ontario L3R OW7, Canada.
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Annals welcomes electronically submitted letters.
TO THE EDITOR:
Snow and colleagues (1) provided clinical guidelines for the management of migraine by primary care physicians. Although these guidelines generally follow those published by the U.S. Headache Consortium (2), several issues relating to their advice may result in suboptimal care in clinical practice.
All recently published evidence-based guidelines for migraine management, including those of the U.S. Headache Consortium (2), the U.S. Primary Care Network (3), and the U.K. Migraine in Primary Care Advisors (4), provide evidence for and recommend a strategy of individualized care for migraine. The therapy is chosen on the basis of the historic pattern of attack …
