If you run out of medicine outside of your GP surgery's normal opening hours and need some urgently, there are a few ways to get an emergency supply quickly, even if you're away from home. They will keep a record of your details, the medicine they provide and the nature of the emergency. If the pharmacist is not satisfied that the medicine and dose is appropriate for you, they may not supply the medicine. Only a limited range of controlled medicines can be prescribed in an emergency, such as those for epilepsy phenobarbital. This may vary between pharmacies.

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A more recent article on migraine headache prophylaxis is available. Abstract Preventive Medications Special Considerations References Article Sections Abstract Preventive Medications Special Considerations References Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has demonstrated fair effectiveness, but further studies are needed to define its role in migraine prevention. Data and expert opinion are mixed regarding some agents, such as verapamil and feverfew; these can be considered in migraine prevention when other medications cannot be used. Factors that should prompt consideration of preventive therapy include the occurrence of two or more migraines per month with disability lasting three or more days per month; failure of, contraindication for, or adverse events from acute treatments; use of abortive medication more than twice per week; and uncommon migraine conditions e.

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