Which statement best describes the goals of migraine prophylaxis?

Which statement best describes the goals of migraine prophylaxis?

• A. 50% reduction in frequency of days with headache
• B. Significant decrease in attack duration and severity
• C. Improved response to acute treatment
• D. All of the above

Answer: (D)

Migraine preventive therapy aims to reduce the overall burden of attacks in several complementary ways. A common, meaningful goal is at least a 50% reduction in monthly migraine days, which reflects fewer days with headache. In addition, preventive treatment should lessen how long attacks last and how severe they are, decreasing the level of disability and improving daily functioning. Finally, with fewer and less intense attacks, patients often experience an improved response to acute treatments when an attack does occur, reducing the need for rescue therapy. Because all of these improvements contribute to better overall control and quality of life, choosing all of the above best describes the goals of migraine prophylaxis.

Migraine preventive therapy aims to reduce the overall burden of attacks in several complementary ways. A common, meaningful goal is at least a 50% reduction in monthly migraine days, which reflects fewer days with headache. In addition, preventive treatment should lessen how long attacks last and how severe they are, decreasing the level of disability and improving daily functioning. Finally, with fewer and less intense attacks, patients often experience an improved response to acute treatments when an attack does occur, reducing the need for rescue therapy. Because all of these improvements contribute to better overall control and quality of life, choosing all of the above best describes the goals of migraine prophylaxis.