Migraine Treatment Progress Tracker

A Comprehensive Tool for Monitoring Your Migraine Management Journey

Neurology

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Last updated: Mar 24, 2025

Patient Information

Name: _________________________ Date Started: ___________________

Migraine Episode Log

Headache Details

Date Time Started Duration Pain Level (0-10) Location

Triggers Identified

  • Stress
  • Sleep changes
  • Food/drinks
  • Environmental factors
  • Hormonal changes
  • Other: ________________

Associated Symptoms

  • Nausea
  • Light sensitivity
  • Sound sensitivity
  • Visual aura
  • Dizziness
  • Other: ________________

Medication Record

Preventive Medications

Medication Name Dose Start Date End Date Effectiveness (1-5)

Acute Medications

Medication Name Dose Date Used Relief (1-5) Time to Relief

Lifestyle Modifications

  • Sleep Schedule: _____ hrs/night
  • Exercise: _____ times/week
  • Stress Management: ______________
  • Dietary Changes: _______________

Treatment Effectiveness Summary

  • Monthly headache days: _____
  • Severity reduction: _____
  • Disability reduction: _____

Notes for Next Appointment



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