A Patient Who Has a History of Asthma Experiences Three

A patient who has a history of asthma experiences three or four migraine headaches each month. The patient uses sumatriptan [Imitrex] as an abortive medication and has developed medication overuse headaches. The patient asks the nurse what can be done to prevent migraines. The nurse will suggest that the patient discuss which preventive medication with the provider?

A) Botulinum toxin
B) Meperidine [Demerol]
C) Timolol
D) Topiramate [Topamax]

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