Headache and Migraine in Later Life
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Key Questions
- What are the most common headache disorders in people over the age of 50?
- How does migraine typically change in middle and older age?
- Is it true that migraine improves with age?
- Are triptans still safe for the older population with migraine?
- How common is it for an older person to get a new diagnosis of migraine?
- In someone with a history of migraine, what are some factors that might lead to increased frequency of attacks in middle age?
- What are some alternatives if triptans either stop working for someone, or become unsafe to use?
- How safe are some of the typical migraine medications for people older than 50?
- Why do some people with migraine become more or less responsive to their usual medications as they age?
- What are the risks of a long-term migraine history and the long-term medication use that may accompany it?
- Are the newer medications safe for older people with migraine?
- What nonmedicinal options exist for migraine after 50 years of age?
Interview Notes
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- Management of headache in the elderly
- Dr. Robbins on Twitter: @mrobbinsmd
- Matthew Robbins, MD
Matthew Robbins, MD
Associate Professor of Neurology and Residency Program Director
Weill Cornell Medicine, NewYork-Presbyterian Hospital
Dr. Robbins earned his bachelor’s degree from Yale University and his MD from SUNY-Downstate College of Medicine. He completed his neurology residency, chief residency, and headache fellowship at the Albert Einstein College of Medicine/Montefiore. He served on the faculty at Montefiore-Einstein for nearly a decade in roles including chief of neurology at the Jack D. Weiler Hospital and director of inpatient services for the Montefiore Headache Center. He joined Weill Cornell in 2018, where he is the neurology residency program director, the Louis and Rachel Rudin Foundation Education Scholar, and an associate professor of neurology.
Dr. Robbins is the president-elect of the American Headache Society (AHS) and co-directs the AHS Resident Education Program. He is the president-elect of the New York State Neurological Society. He has served on the editorial boards of multiple neurology journals, including Continuum and Headache, and has won teaching awards from the American Academy of Neurology, AHS, National Headache Foundation, Albert Einstein College of Medicine, and Weill Cornell.
He has led organizational initiatives related to headache, including guidelines, consensus statements, and quality measures. He is active in advocacy activities, including the Palatucci Advocacy Leadership Forum, serving multiple times as an adviser and faculty member.
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Migraine & Headache Australia is the only organization in Australia that aims to support the more than 5 million Australians affected by headache and migraine. Headache Australia is a division of the Brain Foundation.
About a billion people around the world are affected by migraine. Many suffer from severe headaches, and others endure debilitating pain, blurred vision, and other side-effects, some for as many as 15 days a month or more. Teva has been providing treatments for diseases of the central nervous system for over thirty years. We are working to bring innovative treatments to those suffering from migraine and headache, as well as bringing greater awareness of the impact these conditions can have on peoples’ lives.
Elizabeth joins the interviewing cast of the Summit in addition to her roles managing educational content for people with migraine.