Migraine Resource Network is a comprehensive educational initiative for clinicians seeking current and emerging information on migraine headache. Our mission is to provide ongoing medical education that embodies evidence-based scientific data, current treatment strategies, and the insightful knowledge of expert faculty. Our goal is to support your ongoing dedication to optimizing treatment outcomes for your patients.

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Pregnancy and Lactation: Considerations in Migraineurs

Release Date: November 30, 2008
Expiration Date: November 30, 2009


Migraine is a debilitating disease which is found to be three times more prevalent in women than men. Pregnancy and lactation can be especially difficult for the female migraine patient, as treatment options can be limited. During pregnancy the majority of women patients fortunately experience cessation or improvement in their migraine headaches. This improvement may be attributed to more “even” levels of estrogen, rather than the cyclic changes women experience on a monthly basis. At the time of delivery however, a precipitous drop in estrogen can trigger the postpartum return of migraines. For the breastfeeding migraine patient, there are options which can be considered through consultation with a well-informed healthcare clinician.

Target Audience

This activity is designed for physicians and other allied healthcare professionals involved in the management of migraine.

Learning Objectives

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

  • Summarize the need for management of migraine during pregnancy and breastfeeding
  • List the FDA Categories of Medication Risk in Pregnancy
  • Identify how to access information on pharmacologic agents as described by AAP policy regarding breastfeeding
  • Outline nonpharmacologic options for managing migraine during pregnancy

General Information

This activity is eligible for credit through November 30, 2009. After this date, this activity will expire and no further credit will be awarded.

There are no fees for participating in this activity. All participants must complete the Activity Evaluation Form. Certificates may be printed immediately after completing the online self-assessment and evaluation.

This activity is supported by an educational grant from Endo Pharmaceuticals


Faculty Biography

Susan L. Hutchinson, MD, is board certified in family practice and has a subspecialty in headache. She is director and founder of the Orange County Migraine & Headache Center in Irvine, California. She is also an associate clinical professor in the department of family medicine at UC-Irvine Medical Center. She concentrates on the management of migraine and mood disorders with a special interest on the relationship of both conditions to hormones. Dr. Hutchinson is a national speaker on both migraines and depression and was awarded the National Headache Foundation Lectureship Award in February 2003 in recognition of her contribution to headache education. She was selected as a Physician of Excellence by the Orange County Medical Association in January 2007. In recent years, she has coauthored numerous journal articles and chapters on the subject of migraine.


Accreditation Statement: MediCom Worldwide, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: MediCom Worldwide, Inc. designates this educational activity for a maximum of .5 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


In accordance with the Accreditation Council for Continuing Medical Education (ACCME), ACPE and California Board of Nursing, MediCom Worldwide, Inc. requires that all program planners, faculty, and providers who are in a position to control the content of a CE activity are required to disclose any relevant financial relationships they may have or have had within the last 12 months with the commercial supporter or the manufacturer(s) of any commercial device(s) discussed in this educational activity. Accordingly the following disclosures were made.

Faculty Disclosure

Dr. Hutchinson has received honoraria related to formal advisory activities from Endo Pharmaceuticals, Forest Laboratories, Inc., GlaxoSmithKline, and NuPathe Inc. She has received honoraria related to speakers’ bureau activities from Endo, Forest, GSK, and Merck & Co., Inc.

Provider Disclosures

The MediCom Worldwide, Inc. education staff who were involved in the development of this activity have no financial relationships with any commercial interests that are relevant to this activity.

Off-Label/Investigational Disclosures

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Further, attendees/participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

Dr. Hutchinson indicated that her presentation would include the discussion of triptans during pregnancy and lactation for the management of migraine. Triptans are not approved by the FDA for this use in the United States.

Dr. Hutchinson indicated that her presentation would not include the discussion of products that have not been approved by the FDA for any use in the United States.

Conflict of Interest Resolution

To resolve identified conflicts of interest, the educational content was fully peer reviewed. The resulting certified activity was found to provide educational content that is current, evidence-based, and commercially balanced.

©2008 MediCom Worldwide, Inc., 101 Washington St., Morrisville, PA 19067.

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