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What patients should receive migraine ppx?

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Final answer:

Migraine ppx is a preventive treatment for patients with recurrent migraines. Factors to consider when determining if a patient should receive migraine ppx include frequency, impact, and comorbidities. Examples of patients who may benefit from migraine ppx include those with chronic migraines and those who have failed acute treatment.

Step-by-step explanation:

Migraine ppx, also known as migraine prophylaxis, is a preventive treatment used for patients with recurrent migraines. It is recommended for patients who experience frequent or severe migraines that significantly impact their quality of life. These patients may have tried and failed acute or symptomatic treatments alone or may have contraindications to these medications.

There are several factors to consider when determining if a patient should receive migraine ppx. These include the frequency of migraines, the impact on daily life, the number of headache days per month, the severity of attacks, and the presence of comorbidities. Additionally, the decision to start migraine ppx should be made on an individual basis, taking into account the patient's preferences and the potential benefits and risks of the treatment.

Examples of patients who may benefit from migraine ppx include those with chronic migraines (≥15 headache days per month), patients with migraines that have failed acute treatment or symptomatic medications, and individuals with certain comorbidities such as depression, anxiety, or epilepsy.

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