MRCP2-3067

MRCP2-3067

A 28-year-old woman is referred to the Migraine Clinic. She was diagnosed with simple migraine 2 years ago.
In the last 12 months, attacks have increased in frequency and changed in nature. She now experiences a daily headache that ‘squeezes’ her forehead. The pain worsens as the day goes on. There is no correlation with movement or posture, and no other neurological symptoms are present. The pain is so severe that she has significantly increased her use of painkillers. At the time of the appointment, she is taking daily ibuprofen, aspirin, and codeine.
During the examination, her blood pressure is 130/80 mmHg, with a pulse of 75 bpm and regular rhythm. There are no notable findings on the neurological examination.
What is the most appropriate course of action?