Migraine treatment can never be achieved by medications only. Migraine requires a “management plan”, but not just treatment policy.
Migraine management requires two people in particular: the sufferer and the doctor. The migraine sufferer has a lot to contribute with, and the managing doctor needs to be open minded, to be clever, and above all to treat his patient as a human but not a patient with migraine.
Behind the patient and the doctor stands the closest person to the sufferer spouse (for the married), parents, mother in particular(for the unmarried), good friends, and people at work especially the employer.
Management of migraine needs many heads to work together (multi-disciplinary team), which includes in addition to the patient and the neurologist, patient’s doctor(GP), pharmacist, and a good psychologist. A psychiatrist with good knowledge of migraine may be required on the stand by as well.
The exact cause of migraine is not yet known apart from many “theories” with no prove. All what we do doctors is to treat according to “hypothesis”. Hence, all medications we use are subjected to failure(trial &error).
Will follow soon….