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<p>The majority of patients with migraine can be managed through routine access to
primary and secondary care. Migraine management is identified within the core competencies
for the care for people with neurological conditions in the Royal College of General
Practitioners’ (RCGP) GP curriculum. Migraines are also identified as an key area
of clinical knowledge in the RCGP Applied Knowledge Test (AKT) content guide. The
AKT is a summative assessment of the knowledge base that underpins general practice
in the United Kingdom within the context of the National Health Service and is a key
part of GPs’ qualifying exams. <br></p><p>The National Institute for Health and Care
Excellence (NICE) guideline, ‘Headaches: Diagnosis and management of headaches in
young people and adults’, published in 2012 and updated in 2015, sets out evidence
based best practice for healthcare professionals in the care, treatment and support
of people who suffer from migraines.</p><p> </p><p>The usual treatment approaches
to migraine are designed to either stop or prevent attacks. Treatments for acute migraine
attacks include medications such as analgesics, triptans and anti-emetics (as recommended
in NICE's guideline on headaches in over 12s).</p><p>Treatments to stop or reduce
the frequency of migraine attacks include medications such as beta blockers, tricyclic
antidepressants and antiepileptics.</p>
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