Which statement is NOT accurate to include in migraine teaching for a newly diagnosed patient?

• A. Foods that contain tyramine, such as alcohol and aged cheese, should be avoided.
• B. Potential side effect of medications is rebound headache.
• C. Complementary therapies such as biofeedback and relaxation may be helpful.
• D. Estrogen therapy should be continued.

Answer: (D)

Managing migraine education focuses on identifying personal triggers, using medications wisely to avoid rebound headaches, and exploring nonpharmacologic options that can help reduce attack frequency.

Continuing estrogen therapy is not accurate to include in migraine teaching because estrogen-containing treatments can provoke migraines in many people and may increase attack frequency, especially in those with migraine with aura. A clinician should review any hormonal therapy when a new migraine diagnosis is made, and alternatives or adjustments are often considered rather than a blanket recommendation to continue.

The other statements reflect common, useful teaching. Foods and drinks containing tyramine, such as alcohol and aged cheese, can be triggers for some individuals, so patients are encouraged to notice and limit their own triggers. Medication overuse headaches can occur with frequent use of migraine medications, so patients should be guided on appropriate dosing and timing. Complementary therapies like biofeedback and relaxation techniques can also help reduce migraine frequency and improve coping, making them a reasonable part of a comprehensive plan.