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This tool is educational and informational. It does not replace clinical judgment. Verify guideline criteria and trial data against the cited source before acting.
Not prospectively validated. No clinical tool replaces bedside assessment.
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Tarvinder Singh, MD -- Vascular Neurologist. March 2026.
Headache
Acute migraine, preventive migraine, and cluster headache treatment support.
Migraine Management (ED)
ED acute migraine treatment by evidence tier and safety constraints
Use when Acute migraine presenting to the ED. Ranks treatments by evidence tier and safety constraints.
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Migraine Management (Clinic)
Preventive decision support: ranks options by migraine burden, overuse, current regimen, and safety constraints
Use when Migraine days exceed 4/month or acute treatment is overused. Ranks preventives by burden, overuse, and safety.
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Cluster Headache Management
Phase-aware cluster management: attack relief, bridge therapy, and prevention with oxygen and verapamil protocols
Use when Trigeminal autonomic headache with attack, bridge, and preventive phases.
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Workflow
Start with acute migraine in the ED. Move to preventive selection when migraine days exceed 4 per month or acute treatment is overused. Use cluster headache for trigeminal autonomic presentations.