Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: Dr Lipton and colleagues1 compared "stratified care" with 2 different "step-care" strategies for the treatment of migraine headache. In stratified care, the choice of migraine treatment is based on time lost due to headaches during the previous 3 months. Step-care treatment starts with relatively simple medication (eg, aspirin plus metoclopramide) and is escalated to more specific medication (eg, zolmitriptan) when headache response is unsatisfactory.
Lohman JJHM. Treatment Strategies for Migraine Headache. JAMA. 2001;285(8):1014-1015. doi:10.1001/jama.285.8.1013