Vicky,age 56 years,comes to clinic requesting a refill of her Fiorinal (aspirin and butalbital)that she takes for migraines.She has been taking this medication for over 2 years for migraine and states one dose usually works to abort her migraine.What is the best care for her?

Question

Quizplus · Accepted Answer

It is important to assess how often Vicky is using Fiorinal to ensure she is not overusing it, which can lead to medication overuse headaches. Refilling her medication as needed is appropriate as long as she is not overusing it. Switching her to sumatriptan or a beta-blocker may be options, but this decision should be made after further evaluation and discussion with the patient. Option D is not a helpful or patient-centered approach.

Vicky,age 56 Years,comes to Clinic Requesting a Refill of Her