National migraine guidelines.

 

National

A number of national society guidelines are also available to help guide the management of migraine within the clinic:


In the UK, National Institute for Health and Care Excellence (NICE) Headaches in over 12s: diagnosis and management guidelines are available and were last updated in November, 2015.

A good example of a step-wise treatment approach is shown by the British Association for the Study of Headache (BASH). They suggest that failure on three occasions should be the criterion for progressing from each step to the next.

Step-wise management of acute migraine with example treatments.

Figure 17: Step-wise management of acute migraine with example treatments (MacGregor et al., 2010). sc = subcutaneously, im = intramuscularly.