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Practice Current: How Do You Treat Migraine in Pregnancy?

Introduction




Practice Current features anonymous surveys intended to assess real-life practice patterns in scenarios where uncertainty exists. There are no right or wrong answers and we understand that extra-medical factors affect neurologic practice.

Please answer each question based on your REGULAR practice, and not your IDEAL practice. For example, if “option A” would be your ideal choice but you regularly do “option B” due to encountered barriers, then choose “option B”.

Estimated Time: 4 Minutes

CASE: A 32-year-old woman with longstanding chronic migraine and a previously normal brain MRI presents for follow-up. On topiramate 100 mg daily, her headache frequency has improved from 16 to 4 days per month, and ubrogepant is effective as acute therapy. She reports no adverse effects and plans to start trying to conceive in three months
1. What would you recommend regarding this patient’s current treatment plan? *This question is required.
2. Which of the following preventive treatments would you recommend during pregnancy? (Choose all that apply.)  *This question is required.
3. Which of the following acute treatments would you recommend during pregnancy? (Choose all that apply.)  *This question is required.
4. During your visit, which of the following nonpharmacologic interventions would you recommend during pregnancy? (Choose all that apply.)  *This question is required.
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