Vicky, age 56 years, comes to the 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 migraines and states one dose usually works to abort her migraine
What is the best care for her?
1. Switch her to sumatriptan (Imitrex) to treat her migraines.
2. Assess how often she is using Fiorinal and refill her medication.
3. Switch her to a beta blocker such as propranolol to prevent her migraine.
4. Request she return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.
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