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Best practice: migraine
  1. N Speight
  1. Paediatric Dept, University Hospital of North Durham, Durham DH1 5TW, UK; nigel.speight@cddah.nhs.uk

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In their otherwise very comprehensive review of this subject in your October issue of Education and Practice,1 Drs Barnes and Jayawant limit themselves to only two aspects of management in the prophylaxis of migraine: drug treatments, and psychological/behavioural therapy.

While it may be difficult to find hard evidence for some of the environmental areas they omitted, some mention of avoidance of obvious trigger factors would surely …

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