Migraine affects 15% of the UK adult population and occurs three times more frequently in women compared with men. It is a common reason for patients to consult their GP. The primary aim in the management of migraine is the control of symptoms to minimise the impact on the patient's lifestyle. Expectations of a complete cure are unrealistic. However, under-treatment is neither cost-effective nor time-effective and different options should be offered until the most beneficial treatment plan is reached. As migraine typically varies with time, patients’ needs may change and the differential diagnosis should be reviewed regularly.
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