Migraine Management Cheat Sheet

Migraine consultations move fast, and the detail that matters is scattered across a guideline you don't have time to open. This one-page sheet puts it all in front of you.

Built for community pharmacists, IPs, trainees and pre-reg students working under the new prescribing pathways — designed to be printed, pinned up and used mid-consultation.

What's on the sheet

• Diagnostic criteria — the 4–72 hour rule, pain features, associated symptoms and how to recognise aura

• Red flags — tiered into 999, same-day and urgent, so you know how fast to move

• Acute treatment — first-line combinations, the 12–17 age exception, antiemetics, and when rimegepant becomes an option

• Medication overuse headache — the 10-day and 15-day thresholds and what to advise

• Prophylaxis — propranolol, topiramate and amitriptyline with their key cautions, plus atogepant and rimegepant after three failures

• Hormones and pregnancy — including the aura and combined contraception contraindication

• Look-alikes — tension-type and cluster headache at a glance