Kathy is a 32-year-old Caucasian female with

Kathy is a 32-year-old Caucasian female with a history of migraine headaches since age 16. She has no other health issues. She is married with 4 children under the age 10. She admits to life stressors. She drinks 3 cups of coffee a day. She has been well managed on Imitrex 50 mg and occasional OTC Excedrin until the past two months. She is now using her Imitrex more than 4 times a month and is not having resolution with two doses. Her exam and recent blood work are normal. What is your initial management plan for this patient? Is she a candidate for an alternative medication regimen? Would a headache diary be helpful with this patient? SCIENCE HEALTH SCIENCE NURSING PHARM 676B

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