Prophylaxis: Unfortunately, the mainstay of abortive treatment (the triptans) carries a theoretical risk of stroke in patients with hemiplegic migraine. While some studies suggest they might be safe, few patients or doctors are willing to take the risk. If nsaids are not effective abortives for your headache, prophylactic treatment to prevent the headaches in the first place should be strongly considered.
Answered 10/3/2016
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