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February 28, 2001

Treatment Strategies for Migraine Headache

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;285(8):1014-1015. doi:10.1001/jama.285.8.1013

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.

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