For certain groups of patients with migraine, like the elderly and pregnant women who often avoid triptans or nonsteroidal anti-inflammatory drugs (NSAIDs), opioid medications could potentially be used for occasional pain management. But in today’s treatment landscape where migraine-specific medications that target the source of a patient’s symptoms are effective and available, opioids continue to be prescribed at unnecessarily high rates, a practice that can have devastating effects on individuals, according to Stephen Silberstein, MD, FAAN, FACP, FAHS, director of the Headache Center at Jefferson University Hospital.

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