How do you counsel patients on how to take abortive migraine medications during the prodrome period?

I do not routinely counsel patients to take abortive treatments during prodrome. It would depend on headache frequency. It would be hard if their headache frequency is high, such as >8-10 headache days per month, as they may run out of their abortive treatment. If they have low headache frequency an...

Even if the patients, for various reasons, may only treat at the headache onset (and often wait too long after that), my approach is to continue educate and encourage patients to observe for prodrome symptoms and treat them; of course best evidence is for ubrogepant. But it may be a class effect. Ot...

I will first summarize what I do and then provide a rationale:

1. I identify people with migraine who are able to predict headaches based on their prodromal features. I ask, "Do you know when you are going to get a headache before the pain begins? How do you know? How long does it usually take from th...