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...
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 gepant...
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 riboflav...