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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 failed to discuss several important issues associated with migraine therapy. The patients were stratified using MIDAS scores, which are influenced largely by the frequency of disabling headaches. The authors dismissed patients with grade I disability by simply asserting that their attacks "do not warrant treatment with a triptan." However, a person with infrequent severe disabling migraines with resulting work absenteeism could score grade I on the MIDAS. Such attacks would certainly warrant triptan therapy.