You are seeing a 28-year-old patient who presents with gradually worsening headaches. She has had headaches off

You are seeing a 28-year-old patient who presents with gradually worsening headaches. She has had headaches off and on since she was a teen, similar to her mother. She typically awakens with them, and they are associated with nausea and vomiting, which can last for much of the day. The pain is throbbing and usually unilateral behind the right eye. Resting in a dark room often helps, and ibuprofen can help as well if she is able to take it at the onset of the headache. Recently, the headaches have become more common, happening two to three times per week. These have been interrupting her job as a paralegal, and she is worried she will be fired. She has tried yoga and mindfulness-based stress reduction, but these have not helped. She does not smoke, drink alcohol, or use illicit drugs. She recently stopped her oral contraceptive pills in an effort to get pregnant. Her vital signs and physical exam are perfectly normal. Of the following, which would be the most appropriate next step in managing this patient? A. Advise her to continue the ibuprofen as it has been helpful B. Discontinue the ibuprofen and prescribe acetaminophen instead

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