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Menstrual migraine: options for intermittent therapy
bulletTricyclics
bulletAmitriptyline or Nortriptyline 25 mg hs
bulletBeta blocker
bulletPropranol slow release 60 to 80 mg qd
bulletNadlol 40 mg qd
bulletNSAID
bulletNaproxen 500 mg bid
bulletKetoprofen 75 mg tid
bulletTriptan
bulletNaratriptan 1 mg bid
bulletRizatriptan 5 mg bid
bulletSumatriptan 25 mg bid to tid
bulletZolmitriptan 2.5 mg bid
bulletFrovastriptan 2.5 mg bid
bulletAnticonvulsant
bulletValproate 500 - 1500 mg per day in divided dose
bulletTopiramate 25 mg bid to 100 mg bid
bulletEstradiol transdermal patch (Climara)
bullet0.025 mg to 0.05 mg/day patch weekly, starting 3 days before period
 

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