Episodic and Chronic Migraine Headache: Transforming Science Into Clinical Success

Release Date: June 5, 2015
Last Reviewed: June 5, 2015
Expiration Date: June 5, 2016
Time to Complete Activity:  2.0 hours

*This activity expired for credit on June 5, 2016 and is no longer available for credit

This activity is provided by Global Education Group.  Paradigm Medical Communications, LLC, is the educational partner.


Sheena K. Aurora, MD
Clinical Associate Professor
Department of Neurology
Stanford University
Palo Alto, CA

William B. Young, MD
Professor of Neurology
Thomas Jefferson University
Philadelphia, PA

Target Audience
This activity has been designed to address the educational needs of neurologists, headache specialists, select primary care physicians, and other HCPs who manage patients with chronic and episodic migraine.

Statement of Need
The International Headache Society recently introduced updated criteria for diagnosing migraine, including guidelines for distinguishing between episodic and chronic migraine (EM and CM, respectively). The consequences associated with CM are substantially greater than those associated with EM, and thus require different management strategies.  The American Headache Society just released updated guidelines regarding the acute treatment of migraine; however, there are no recent guidelines for the prevention of EM and CM.  The goals of this initiative are to educate neurologists and other healthcare professionals who treat patients with migraine about the newest guidelines regarding the diagnosis and acute management of migraine, as well as to provide guidance regarding the use of existing and emerging options for the prophylaxis of EM and CM.

Learning Objectives

Upon proper completion of this activity, participants should be better able to:

  • Explain the diagnostic criteria of migraine, including how to distinguish between episodic and chronic migraine
  • Summarize guidelines for providing acute and preventive treatment to appropriate migraine patients
  • Discuss appropriate use of existing and forthcoming therapeutic options for migraine, including proper administration techniques


  • Welcome and Introductions
  • Diagnostic Challenges in Differentiating Episodic and Chronic Migraine: The Key to Understanding the When and What of Optimal Treatment
  • Evidence-Based Approaches for Management of Acute Migraine – Traditional and Novel Approaches
  • Traditional and Novel Options for Prevention of Episodic and Chronic Migraine: A Video Enhanced, Case-Based Approach

Accreditation Statement
Global Education Group is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

This CME/CE activity complies with all requirements of the federal Physician Payment Sunshine Act. If a reportable event is associated with this activity, the accredited provider managing the program will provide the appropriate physician data to the Open Payments database.

Credit Designation Statement
Global Education Group designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information about the accreditation of this program, please contact Global at (303) 395-1782 or inquire@globaleducationgroup.com.

Disclosure of Commercial Support
This activity is supported by an educational grant from Allergan, Inc.

Instructions for Participation
To receive a CME certificate of participation, participants must:

  • Follow instructions to register or log in with your professional information and complete the pretest
  • View the online activity in its entirety
  • Complete and submit the online posttest and evaluation. You must answer 70% of the posttest questions correctly to earn credit. You will have unlimited opportunities to successfully complete the posttest

 A certificate of participation will be available for download/printing immediately following your successful completion of the posttest and evaluation.

For questions regarding CME credit, contact the Paradigm CME Department at (845) 398-5949.

There is no fee required for participation in this activity.

Hardware/Software Requirements
This certified CME activity is designed using HTML5 video. As you navigate the video using the supplied controls, the slides will sync to the speaker.

Supported Browsers:
For Desktops (Windows/Mac)
Internet Explorer 9 or higher, Firefox 28 or higher, Safari 5.1 or higher, Google Chrome 31 or higher, Opera 21 or higher

For Tablets (iPad/Android/Surface)
iOS Safari 4 or higher, Android 2.3 or higher, IE Mobile 10 or higher

Technical Support: If you have any technical problems or playback issues, please click on the Technical Support button on the left of the screen,  call (845) 398-5100, or email us at contactus@paradigmmc.com.

Disclosure and Resolution of Conflict of Interest
Global Education Group (Global) and Paradigm Medical Communications, LLC, (Paradigm) require instructors, planners, managers, and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity.  All identified conflicts of interest are thoroughly vetted by Global and Paradigm for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or Presenter

Reported Financial Relationship

Sheena K. Aurora, MD


Grant/Research Support: Amgen Inc; Electrocare; Dr. Reddy’s Laboratories; Labrys Biologics, Inc
Retained Consultant: Allergan, Inc; Avanir Pharmaceuticals, Inc;
Dr. Reddy’s Laboratories; eNeura, Inc; Teva Pharmaceutical LTD

William B. Young, MD

Grant/Research Support: Allergan, Inc.; Cumberland; Electro Core; Eli Lilly; Merck, & CO, Inc.; Optinose; Saint Jude Medical; Troy Healthcare

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Planner or Manager

Reported Financial Relationship

Ashley Marostica, RN, MSN

No financial relationships to disclose

Amanda Glazer, PhD

No financial relationships to disclose

Kelly Enders

No financial relationships to disclose

Laura Gilsdorf

No financial relationships to disclose

Paradigm Medical Communications, LLC, staff members have no financial relationships to disclose.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global and Paradigm do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

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