Revised guidelines of the French headache society for the diagnosis and management of migraine in adults. Part 2: Pharmacological treatment

A Ducros; S de Gaalon; C Roos; A Donnet; P Giraud; E Guégan-Massardier; M Lantéri-Minet; C Lucas; J Mawet; X Moisset; D Valade; G Demarquay

doi:10.1016/j.neurol.2021.07.006

Revised guidelines of the French headache society for the diagnosis and management of migraine in adults. Part 2: Pharmacological treatment

Rev Neurol (Paris). 2021 Sep;177(7):734-752. doi: 10.1016/j.neurol.2021.07.006. Epub 2021 Jul 30.

Authors

A Ducros¹, S de Gaalon², C Roos³, A Donnet⁴, P Giraud⁵, E Guégan-Massardier⁶, M Lantéri-Minet⁷, C Lucas⁸, J Mawet³, X Moisset⁹, D Valade¹⁰, G Demarquay¹¹

Affiliations

¹ Department of neurology, Gui-de-Chauliac hospital, CHU Montpellier, university of Montpellier, 34000 Montpellier, France.
² Department of neurology, Laënnec hospital, CHU de Nantes, Nantes, France.
³ Emergency headache center (centre d'urgences céphalées), department of neurology, Lariboisière hospital, Assistance publique-Hôpitaux de Paris, Paris, France.
⁴ Centre d'évaluation et de traitement de la douleur, FHU INOVPAIN, hôpital de La Timone, Marseille, France.
⁵ Department of neurology, Annecy Genevois hospital, Annecy, France.
⁶ Department of neurology, Rouen university hospital, Rouen, France.
⁷ Pain department, FHU InovPain, CHU Nice Côte Azur université, Nice, France.
⁸ Centre d'évaluation et de traitement de la douleur, service de neurochirurgie, hôpital Salengro, CHRU de Lille, Lille, France.
⁹ Neuro-Dol, université Clermont Auvergne, CHU de Clermont-Ferrand, INSERM, Clermont-Ferrand, France.
¹⁰ Department of neurosurgery, hôpital Pitié-Sapêtrière, Paris, France.
¹¹ Neurological hospital, Lyon, neuroscience research center (CRNL), INSERM U1028, CNRS UMR5292, Lyon, France. Electronic address: [email protected].

PMID: 34340810
DOI: 10.1016/j.neurol.2021.07.006

Abstract

The French Headache Society proposes updated French guidelines for the management of migraine. This article presents the second part of the guidelines, which is focused on the pharmacological treatment of migraine, including both the acute treatment of attacks and the prophylaxis of episodic migraine as well as chronic migraine with and without medication overuse. The specific situations that can be encountered in women with migraine are also discussed, including pregnancy, menstrual migraine, contraception and hormonal replacement therapy.

Keywords: Acute treatment; Chronic migraine; Episodic migraine; Guidelines; Medication overuse; Prophylactic treatment.

Publication types

Review

MeSH terms

Adult
Female
Headache / diagnosis
Headache / drug therapy
Humans
Migraine Disorders* / diagnosis
Migraine Disorders* / drug therapy
Migraine Disorders* / epidemiology
Pregnancy
Premenstrual Syndrome*