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Which medications are used to treat menstrually associated migraine (MAM)? Select all that apply.

a. Amitriptyline [Elavil]
b. Estrogen
c. Ergotamine [Ergomar]
d. Frovatriptan [Frova]
e. Naproxen

1 Answer

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Final answer:

The medications used to treat menstrually associated migraine (MAM) include Estrogen, Ergotamine [Ergomar], Frovatriptan [Frova], and Naproxen. Amitriptyline [Elavil] is used for chronic migraine prevention but not specifically for MAM.

Step-by-step explanation:

The medications used to treat menstrually associated migraine (MAM) include both acute treatments that are taken at the onset of a migraine headache and prophylactic treatments that are taken to prevent migraines. The options listed in the question that apply are:

  • Estrogen: This can be used to stabilize hormonal fluctuations that may trigger migraines in women who have a menstrual cycle-related pattern.
  • Ergotamine [Ergomar]: While less commonly used now due to the triptans' better side effect profile, ergotamine can still be prescribed for acute migraine attacks.
  • Frovatriptan [Frova]: This is a triptan specifically approved for the short-term prevention of menstrually related migraines. It's taken a few days before the expected onset of the period and continued for a few days after the period starts.
  • Naproxen: This nonsteroidal anti-inflammatory drug (NSAID) can be used for acute migraine treatment and as a preventative measure when taken regularly.

However, Amitriptyline [Elavil] is an antidepressant that is used for chronic migraine prevention, but it is not specifically used for MAM.

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