Migraine: pathophysiology, recognition and management

An overview of the pathophysiology, diagnostic criteria and licensed and emerging treatment options for the management of migraine.
Man clutching his head in pain in an office

By the end of this article, you should be able to:

  • Understand the prevalence of migraine in the UK, its burden on individuals and economic impact;
  • Understand the pathophysiology and stages of migraine and how it is diagnosed;
  • Describe the main components of migraine treatment (lifestyle management, acute treatments, prophylactic agents), and the pharmacological and non-pharmacological options available to prescribers; 
  • Describe the mechanism of action for CGRP monoclonal antibodies and CGRP receptor antagonists (gepants).

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