Migraine Report Migraine-Report | Page 4

Project Progress Report 3. Condition under study  Patients suffering from refractory migraine as per the Schulman’s Criteria  History of illness not less than 12 months  Pain intensity of 6 and above on 10 points VAS (Visual Analogue Scale) Score during the attacks  Frequency of at least four attacks or more per month  MIDAS (Migraine Induced Disability Assessment Scale) score of 11 and above 4. Compliance  The patient must understand and be able, willing and likely to fully comply with study procedure and restriction.  Patient willing for regular follow ups. 5. Informed Consent  The patient willing to give written informed consent. 6.2) Exclusion Criteria 1. Conditions other than study  Patients having migraine with aura, sinusitis induced headache, patients with refractory headache, post traumatic headache, medication over use headache, intracranial hypertension/hypotension and neuralgias and patient with pseudo refractory migraines. 2. Concurrent Diseases  Patient with chronic uncontrolled illness, specially diabetes (random blood sugar > 200mg/dl), severe anemia (Hb 140mmHg & DBP> 90mm Hg) etc, that require medical therapy. Randomized controlled clinical trial to evaluate prophylactic 4 properties of Ayu rv ed ic Treatment Protocol in refractory and chronic migraine patients