Sheila B. age 30 presents to the clinic with complaint of classic migraine headache, which she describes as moderately severe.

Sheila B. age 30 presents to the clinic with complaint of classic migraine headache, which she describes as moderately severe. She first developed migraines in her teen years and they have worsened as she has gotten older. She has been using ibuprofen, aspirin, acetaminophen and aspirin plus caffeine 2 to 3 times per week for the treatment of her headaches, but continues to experience them despite increasing therapy. The best course-of-action from the list below to manage Sheila’s headaches is: O Increase the dose and frpquency of over-the-counter medications in order to better treat her pain and restore function. • Add an opioid to better manage chronic pain Discontinue all medications immediately and give her a 2-4 week drug holiday O Consider the addition of a migraine-specific medication while tapering other medications

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