MDCalc

Migraine Treatment Optimization Questionnaire-4 (mTOQ-4)

Determines effectiveness of current migraine treatment plan.

This tool can be used to gauge symptom control of acute migraine therapy. There are a few validated versions of the mTOQ; we present the 4-question version below.

After taking your migraine medication, are you pain-free within 2 hours for most attacks?

Does 1 dose of your migraine medication usually relieve your headache and keep it away for at least 24 hours?

Are you comfortable enough with your migraine medication to be able to plan your daily activities?

After taking your migraine medication, do you feel in control of your migraines enough so that you feel you can return to normal function?

Result:

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Management
  • Higher scores correlate to better treatment efficacy and symptom control.
  • Consider modifying therapy if scores are low.