A patient with migraine headaches has recently started on daily topiramate to control her headaches. She says that she still experiences headaches at least two days a week lasting up to 24 hours that keep her home from work. She experiences nausea, photophobia and phonophobia during the hedaches, she usually takes ibuprofen 200 mg 2 tablets every 4 to 6 hours without much relief. Which medication is most appropriate to treat this patient’s migraine headache?
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