Medication Management for Headache

In this insightful talk, Dr. Charles Argoff emphasizes the continued importance of pharmacotherapy in headache and migraine treatment. He critiques outdated perceptions and advocates for open-minded, patient-specific approaches that integrate medication with interventional care. Highlighting advances like CGRP antagonists, gepants, and newer formulations of DHE and triptans, he encourages evidence-based, mechanism-driven treatment. He discusses how treatments like Botox and monoclonal antibodies have transformed chronic migraine care, while cautioning against hubris in assuming we always have the right answers. Ultimately, the talk calls for humility, accurate diagnosis, and thoughtful therapy selection.