There have been important advances in the management of migraine headache since we last reviewed the subject in 1981.1 Formal diagnostic criteria, which were introduced in 1988,2 have led to more reliable assessment of the prevalence of migraine and how it affects attendance and efficiency at work.3 In addition, the use of the 5HT1 agonists has become established. In this article, we discuss how these changes have altered the management of migraine in adults.
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