ASSIGNMENT HELP | What is your initial management plan for this patient?

Kathy is a 32-year old Caucasian female with a history of migraine headaches since age 16. She has no other health issues. She is married with 4 children under age 10. She admits to life stressors. She drinks 3 cups of coffee a day. She has been well managed on Imitrex 50 mg and occasional OTC Excedrin until the past two months. She is now using her Imitrex more than 4 times a month and is not having resolution with two doses. Her exam and recent blood work are normal. What is your initial management plan for this patient? Is she a candidate for an alternative medication regimen? Would a headache diary be helpful with this patient? Use evidence-based guidelines to support your treatment plan.

MODEL ANSWER

Advance Pharmacology Discussion

            My initial management plan for Kathy would be to find a | PLACE YOUR ORDER NOW AT writtask.com | plan will be to limit the use of Imitrex to once or twice a day, reduce the number of coffee cups a day to one, and find a solution way to minimize the patient’s | PLACE YOUR ORDER NOW AT writtask.com | to identify alternative measures for reducing migraine | PLACE YOUR ORDER NOW AT writtask.com | started as less frequent headaches before gradually changing into frequent, and now chronic migraine patterns. Given her examination and blood, which indicates that she was normal without underlying conditions, a lack of resolutions from the two doses makes her a candidate for an alternative medication regimen.

           Since she qualifies for an alternative medication regimen, her chronic condition would benefit from two alternative treatments namely acute or abortive and preventive or prophylactic therapy. Since Kathy has frequent attacks, she would | PLACE YOUR ORDER NOW AT writtask.com | treatment would target the reversing and stopping progression of migraines, while preventive treatment may be given even in the absence of migraines towards reducing the severity and frequency of attacks.

In this case, Kathy would benefit from non-pharmacologic interventions since the two medication doses had failed to work. Therefore, the patient should enroll in an aerobic conditioning | PLACE YOUR ORDER NOW AT writtask.com | conditioning the body to counter the | PLACE YOUR ORDER NOW AT writtask.com | diary would be helpful and may include sticking to the conditioning program, maintaining good sleep hygiene, eating regular, nutritional meals, and using medications for acute migraine | PLACE YOUR ORDER NOW AT writtask.com | intention is to condition and strengthen the body to contain migraines on its own as a long-term treatment plan.

References

Agostoni, E. C., Barbanti, P., Calabresi, P., Colombo, B., Cortelli, P., Frediani, F., … Russo, A. (2019). Current and emerging evidence-based treatment options in chronic migraine: A narrative review. The Journal of Headache and Pain: Official Journal of the “European Headache Federation” and of “lifting the Burden – the Global Campaign against Headache”, 20(1), 1-9. https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-019-1038-4

D’Antona, L., & Matharu, M. (2019). Identifying and managing refractory migraine: barriers and opportunities? The Journal of Headache and Pain: Official Journal of the “European Headache Federation” and of “lifting the Burden – the Global Campaign against Headache”, 20(1), 1-11. https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-019-1040-x