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SR is an 18-year-old patient with asthma, iron-deficiency anemia, heavy menstrual bleeding, and monthly migraines (without aura) that occur predictably right before her period. She does not experience headaches at other times of the month. SR is in misery when she has a migraine and usually misses several days of school. Choose a reasonable prophylactic option to help her control her migraines.

A. Sumatriptan
B. Propranolol
C. Seasonique
D. Metipranolol
E. Fioricet

1 Answer

3 votes

Final answer:

Seasonique is the best option to help control SR's menstrual-related migraines as it regulates hormone fluctuations. Other medication options mentioned are typically used for acute migraine treatment or general prevention, not specifically for hormonal triggers.

Step-by-step explanation:

The most reasonable prophylactic option to help control SR's migraines that are predictably occurring right before her period is C. Seasonique. Seasonique is an extended-cycle birth control pill that may help by regulating hormone fluctuations, which are often involved in menstrual-related migraines.

Other options such as sumatriptan and Fioricet are used for acute treatment rather than prevention, while propranolol and metipranolol are more general migraine prophylactics, but may not address the hormonal component of SR's migraines.

Regarding SR's condition of asthma and iron-deficiency anemia, she might need additional treatments that are tailored to her medical history. Since she has iron-deficiency anemia, taking ferrous sulfate tablets according to her healthcare provider's advice could help manage her anemia. It's also important for SR to manage her asthma alongside her other conditions, ensuring it does not interfere with her migraine treatment.