Treating Each Phase of a Migraine Attack

Key Questions
  • What is a migraine attack?
  • What is cortical spreading depression, or CSD?
  • What are the known mechanisms behind a migraine attack?
  • Is migraine purely genetic?
  • What is epigenetics?
  • What can you expect from a treatment plan for migraine?
  • What are triptans used for? How many kinds and formats are there?
  • How do migraine patients respond to different triptans?
  • At what point should a migraine patient consider non-triptan forms of abortive medication or preventative drug treatments?
  • What new treatments for migraine are coming out soon?
Interview Notes

Find more about Antoinette Maassen van den Brink, PhD and her work here:

How to Get the Most from Your Doctor

Key Questions
  • How should patients prepare for their doctors’ appointments?
  • What kind of information should patients provide their doctors?
  • What should a patient expect from their doctor?
  • What do doctors expect from their patients?
  • What important differences exist between the initial appointment and follow-ups?
  • How can patients take control of their own health in between appointments?
  • Is a headache diary important?
  • What’s the difference between a good doctor-patient relationship and a bad one? What are some signs of each?
  • How can we foster a good relationship with our health care professional to get the best results?
Interview Notes

Find more about Patricia Pozo Rosich, MD, PhD and her work here:

Dodging False Promises and Treatment Claims

Key Questions
  • What does history teach us about the pursuit of migraine cures?
  • Why is it easy to fall victim to quackery and unscientific “cures”?
  • What is pseudoscience?
  • Why is it sometimes difficult to use the scientific method to study the efficacy of a treatment?
  • What is the placebo response and how significant is it?
  • How much trust should we place in social media treatment claims?
  • Is cannabis a proven effective treatment for migraine?
  • Is the ketogenic diet safe?
  • What is the best way to evaluate a new treatment?
  • How might the use of alternative treatments lead to the neglect of scientifically proven treatments?
  • What are some evidence-based alternative treatments?
  • Why are nerve blocks used in North America if there is limited evidence?
  • Why are some treatments listed in guidelines while others are not?
  • What are the problems with migraine surgeries?
Interview Notes

Find more about Elizabeth Leroux, MD, FRCPC and her work here:

Sleep, Insomnia and Energy

Key Questions
  • Can poor sleep make you more prone to dementia?
  • What does the brain do while we are sleeping?
  • If we miss out on sleep during the week, is it effective to “catch up” on the weekend?
  • Why is sleep especially important for someone who has migraine?
  • What is early-morning migraine?
  • What are some things we can do to improve our overall sleep habits?
  • What is ferritin and how does it impact our sleep?
  • Are there foods that can actually help you sleep better?
  • What is migraine recurrence?
  • Can a lack of sleep affect the effectiveness of our medications and treatments?