Assessment of Current Situation

• Re-evaluate her migraine pattern and severity due to recent worsening.
• Keep a headache diary to track frequency, triggers, and medication response.

Review of Current Medications

• Flunarin (flunarizine) and Domcet (paracetamol + domperidone) are used for migraine management.
• Assess their effectiveness and check for side effects or tolerance.

Diagnostic Evaluation

• Consult a neurologist for a thorough evaluation to rule out secondary causes.
• Consider investigations like MRI if necessary.

Treatment Options

• Explore medication adjustments, including preventive therapies (e.g., beta-blockers, antiepileptics).
• Consider acute treatment alternatives if current ones are insufficient.
• Implement lifestyle modifications: stress management, sleep hygiene, hydration, and trigger avoidance.

Follow-up and Monitoring

• Regular follow-up is crucial to monitor response and side effects.
• Maintain open communication with healthcare providers for timely adjustments.

When to Seek Immediate Medical Attention

• Be aware of warning signs like sudden severe headache, neurological symptoms, or changes in headache pattern that require urgent care.