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January 29, 1973

Treatment of Migraine

Author Affiliations

Columbia University College of Physicians and Surgeons New York

JAMA. 1973;223(5):557. doi:10.1001/jama.1973.03220050057023

To the Editor.—  In a letter in the Nov 6, 1972, issue of The Journal, Dr. C. D. Magill reports the treatment of migraine headache with a cold pack unit (222:703, 1972). As reported by Dr. Magill, this cold pack unit is beneficial in cases of typical migraine headache that are not responsive to propoxyphene.As a neurologist, I think it would be more advisable to start the treatment of a typical migraine headache with an ergotamine preparation. These ergotamine compounds, when administered early, are very effective in relieving the pain of an acute attack of migraine in the majority of cases.To reduce the frequency of the attacks of migraine, a combined therapy of ergotamine, tranquilizers, and systematic psychotherapy would be more indicated than a neck cold pack unit.