What traditional or herbal medications do you regularly screen for in migraine patients?

I do not particularly screen for any. I go over the medicine and supplement/vitamin list that they are taking. I counsel patients on the option of using OTC vitamins/supplements for migraine disorder prevention. I routinely counsel on magnesium 500 mg daily, riboflavin 400 mg daily, and coenzyme Q10 300 mg daily. My confidence in their efficacy, particularly in chronic migraine headache disorder, is low. I also counsel patients on alternative medicine treatment options and mention that acupunctu...

In general, I do not recommend the use of traditional or herbal medications for migraine management. For the treatment of my migraine patients, I rely heavily on the medications specifically developed for the condition, which are the triptans and gepants abortively and the CGRP-antibodies and gepants preventively. The traditional medications for migraine prevention, that is, the tricyclics, beta-blockers, calcium antagonists, and anticonvulsants, I consider old-fashioned and no longer use them, ...

I am aware that many patients prefer natural remedies over prescription medications so I am happy to have shared decision making with many of these but I do educate them on the lack of evidence in favor of many of them so that I cannot recommend supplements outside of magnesium oxide and/or riboflavin. I try to determine if their supplements if interest are potentially harmful or not and would only advise against if that was the case.