Building a Migraine Management Plan That Works
Key Questions
- What are the responsibilities of the patient and the provider in treating migraine?
- What are the ideal components of a migraine treatment plan?
- What do doctors learn from patients’ records or diaries of their migraine attacks?
- What is important for the patient to communicate to their provider during an appointment?
- When should a patient reach out to a doctor in between appointments?
- How important is patient input in getting a correct migraine diagnosis?
- What are some acute therapies for migraine?
- When should preventive medications be considered?
- How do lifestyle factors fit into a comprehensive migraine management plan?
- How do complementary therapies help in migraine treatment?
- When should multimodal treatment be used?
- How long should a treatment or lifestyle modification be used before determining its effectiveness?
Interview Notes
Treatments Mentioned
- Acupuncture
- Anticonvulsants
- Antidepressants
- Antihypertensives (blood pressure medications)
- CGRP monoclonal antibodies (mAbs)
- CGRP small-molecule receptor antagonists (gepants)
- Ditans (selective 5HT1F receptor agonists)
- Neuromodulation devices
- NSAIDs
- OnabotulinumtoxinA (Botox)
- Steroids
- Stress management
- Supplements
- Triptans
Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.
Jérôme Mawet, MD
Neurologist & Headache Specialist
Emergency Headache Center, Lariboisière Hospital, Paris
Jérôme Mawet is a neurologist at the Emergency Headache Center in Lariboisière, Paris. He is also known as doc.migraine on Instagram, where he aims to increase knowledge and awareness on migraine and headache for patients and those around them.
He became a board-certified neurologist in Liege, Belgium, in 2008 and obtained the European Stroke Organisation (ESO) European master in stroke medicine at the Donau University, Krems, Austria in 2009. He obtained a French inter-university diploma in 2013 specializing in migraine and headache and is now part of its teaching team.
In 2012, after a clinical fellowship in stroke in Lariboisière, Paris, he joined the team at the Emergency Headache Center, which each year receives around 10,000 admissions of patients with acute headache of various causes. In 2013-2014, he completed a one-year research fellowship at Harvard Medical School in Boston on the interaction between headache and stroke.
Because of his dual training in stroke and headache, he has special interest in vascular headache, migraine, and the interaction between migraine and stroke.
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We are transforming the lives of people affected by migraine and headache conditions through awareness campaigns, education and support programs, advocacy and research.
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