{macro question(showVoteTotal)}
    <div class="poll-question">
      {if keyType == "discussion"}
        <a href="/forums/?plckForumPage=ForumDiscussion&plckDiscussionId=${key}#forumPostTitle_1" title="View discussion">
          ${poll.Question}
        </a>
      {else}
        ${poll.Question}
      {/if}
      {if showVoteTotal}
        <span class="poll-votes">(${poll.TotalVotes} ${"vote"|pluralise:poll.TotalVotes})</span>
      {/if}
    </div>
  {/macro}
  <div class="slResults" {if !noVote}style="display:none;"{/if}>
    ${question(true)}
    <table class="slAnswerStats" cellpadding="0" cellspacing="0" border="0">
      {for answer in poll.Answers}
        <tr class="slAnswerStat slAnswerStat_${answer_index}">
          <td class="slAnswer">${answer.Answer}</td>
          <td class="slAnswerBarCell">
            <div class="slAnswerBar">
              <div class="slAnswerCount">${answer.NumberOfVotes} ${"vote"|pluralise:answer.NumberOfVotes} (${answer.PercentageStr}%)</div>
              <div class="slAnswerBarPercent" style="width: ${answer.Percentage}%;"></div>
            </div>
          </td>
        </tr>
      {/for}
    </table>
    {if !noVote}<div class="results"><a href="javascript:void(0);" class="slVoteLink">Go vote!</a></div>{/if}
  </div>

{if !noVote}
  <div class="slVote">
    <div class="slErrorText">You must select one answer before submitting your vote.</div>
    ${question(false)}
    <table class="slAnswers" cellspacing="0" cellpadding="0" border="0">
      {for answer in poll.Answers}
        {var answerId = poll.PollKey.Key + '.' + answer_index}
        <tr>
          <td class="slAnswerInput">
            <input type="radio" name="answers" value="${answer_index}" id="${answerId}"/>
          </td>
          <td class="slAnswerText">
            <label for="${answerId}">${answer.Answer}</label>
          </td>
        </tr>
      {/for}
    </table>
    <div style="clear: both; margin-left: 8px;">
      <div class="slSendAnswer"><input class="slVoteButton" type="button" value="Vote" /></div>
      <div class="results"><a href="javascript:void(0);" class="slResultsLink">View Results...</a></div>
    </div>
  </div>
  {/if}

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whats the best option to treat transformed or chronic migraine.

Cat:OpenClinicalForum:GeneralClinical

Cat:OpenClinicalForum:GeneralClinicalDiscussion:3a47b11b-7e76-4d33-bd67-acd677dc625e

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Forums » Open clinical » General clinical » migraine

migraine

posted at 2/7/2012 12:25 PM BST on bmj.com

Moved from the Medical mums forum

neuromedicine

Posts: 312
First: 2/6/2012
Last: 10/5/2013

whats the best option to treat transformed or chronic migraine.

New post Reply to this post

Re: migraine

posted at 2/7/2012 1:18 PM BST on bmj.com

Dr. K. Ashutosh

Posts: 3059
First: 27/3/2012
Last: 13/6/2013

Amitriptyline is the best-supported option for the treatment of chronic daily headaches for those patients who have not been treated by conservative measures, based on a meta-analysis of randomized controlled trials. Patients who overuse symptomatic headache medications, medication withdrawal is effective. Additional therapies include other tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), and prophylactic treatments for migraine.
Transformed migraine: Sometimes people who experience occasional migraine headaches begin to have them more frequently, perhaps as often as every single day. While this is not common, chronic migraine headaches are very distressing, and even can be disabling, because they are so persistent. These chronic, throbbing, vascular headaches are also known as “transformed” migraines because they are migraine headaches that have changed. The International Headache Society defines them as migraine headaches that have changed from occurring episodically to occurring 15 days or more a month, for at least three months.
The best treatment for transformed migraine headaches is prevention. Working closely with your health care provider, being honest and forthright about the treatments you are trying, keeping a good record of your medications and using them as prescribed, is the best way to prevent transformed migraine headaches.

New post Reply to this post

Re: migraine

posted at 2/7/2012 7:11 PM BST on bmj.com

neuromedicine

Posts: 312
First: 2/6/2012
Last: 10/5/2013

i think,role of valproate or topiramate better over amitriptyline. it needs team work such as CBT, modification of life style, biofeedback,patient educationand lastly inj. botox may help.

New post Reply to this post

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