➤ When should preventive migraine therapy be considered for patients with hypertension and coronary artery disease?
Consider prevention when headaches occur more than four days per month, cause marked disability, or when acute treatments are ineffective or overused. Prefer preventives that align with cardiovascular care, such as beta‑blockers (for example, metoprolol) for patients with CAD and hypertension, after checking contra‑indications and tolerability.
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