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date: 24 September 2020

Diagnosis: Taking a diagnostic history is fundamental in the management of migraine.

Acute symptomatic treatment: Acute migraine management should be tailored to the needs of the individual patient, taking into account available drugs, efficacy versus side-effects, contraindications, suitability, convenience, acceptability of route of administration, and costs.

Prophylactic treatment: The major objective of prophylactic therapy is to optimize the patient's ability to function normally by reducing frequency, duration, and intensity of attacks.

Non-pharmacological treatment: These alternatives can be recommended as complements to pharmacotherapy.

Diaries and calendars: All patients should use these tools to confirm diagnosis and follow-up of treatment.

Realistic aims of management: Migraine cannot be cured, but can be managed effectively in most cases.

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