Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 2/4/2026

Acute Management of Perimenopausal Migraine

First‑Line Therapy: Triptan + NSAID

Dosing Recommendation for First‑Line Regimen

When to Use Rimegepant (Nurtec)

Perimenopause‑Specific Considerations

Safety & Precautions

Contraindicated Treatments

Medication‑Overuse Screening

Initiation of Preventive Therapy