Explain your diagnosis for the patient, including your rationale for the diagnosis. Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

The use of Pharmacotherapy to treat gastrointestinal, hepatobiliary and other disorders

This patient presented with chronic headaches, light sensitivity, nausea, vomiting, and a long history of severe migraines. This information suggests that the patient has a migraine headache disorder. The symptoms of migraine headaches include pulsating, unilateral attacks (only one side), light sensitivity and nausea. The patient’s report of chronicity is also consistent with migraine headaches; they last anywhere from 4 to 72 hours and occur at least two times per month up to several times per week or even daily in some cases.

When diagnosing migraine headache disorders it is important to rule out any medical or neurological causes that could be causing the patient’s symptoms – such as an intracranial mass lesion or vascular malformation – so further evaluation may need to be done depending on clinical presentation before starting treatment.

A drug therapy plan that addresses migraine symptoms should include both acute medication for relief when they cannot be stopped and prophylactic drugs to prevent them from happening again. There are triptan medications, such as sumatriptan, ergot drugs (such like dihydroergotamine), and antiemetic (such metoclopramide). Nonsteroidal antiinflammatory medicines (such ibuprofen), can be administered orally as well as via injection. Antidepressants such as verapamil and beta blockers such as propranolol, calcium channel blocking agents (like verapamil), and antidepressants such as amitriptyline can all be prescribed for long-term treatment.

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