Personalized Migraine Management Plan

Patient Information

Name: _________________________ Date: _________________________ Treating Physician: _________________________

Migraine Profile

• Typical frequency: _______ episodes per month
• Average duration: _______ hours
• Typical pain level (1-10): _______

Trigger Identification

• Stress
• Lack of sleep
• Specific foods: ________________
• Hormonal changes
• Environmental factors: ________________
• Other: ________________

Prevention Strategy

Lifestyle Modifications

• Maintain regular sleep schedule
• Stay hydrated (target: _____ oz daily)
• Exercise routine: ________________
• Stress management technique: ________________

Preventive Medications

1. Primary medication: ________________

   • Dosage: ________________
   • Frequency: ________________

2. Alternative medication: ________________

   • Dosage: ________________
   • Frequency: ________________

Acute Treatment Plan

Early Warning Signs

Immediate Response

1. Take prescribed medication within ____ minutes of onset

   • Medication name: ________________
   • Dosage: ________________

2. Secondary treatment if needed after ____ hours

   • Medication name: ________________
   • Dosage: ________________

Emergency Plan

Seek immediate medical attention if:

• Worst headache ever experienced
• Sudden onset severe headache
• Headache with fever, stiff neck, confusion
• New neurological symptoms

Follow-up Care

• Next appointment: ________________
• Contact number for questions: ________________

Progress Tracking

Use migraine diary to record:

• Frequency and duration
• Triggers identified
• Medication effectiveness
• Side effects

Physician Signature & Date