Online Migraine Refills in Florida for Adults (Migraine Disorder)
MD-only migraine refill evaluation by secure video visit for adults in Florida, $49 flat-fee, no insurance required.
Migraine is a neurologic disorder that can cause recurrent moderate to severe headaches, often with nausea, light sensitivity, sound sensitivity, or aura. TeleDirectMD can help stable adults in Florida with refill requests for common non-controlled migraine medications when it is clinically appropriate and safe.
- $49 flat-fee visit
- MD-only evaluation and refill safety review
- Guideline-based screening for dangerous secondary headache features
- No controlled substances
- Adults only, you must be in Florida at the time of the visit
Last reviewed by Parth Bhavsar, MD on 12/24/25.
Clinician note: Most migraine care is about pattern recognition and safety. If your headache is sudden and maximal at onset, new after age 50, associated with weakness, confusion, fainting, fever, stiff neck, vision loss, or follows head injury, urgent in-person evaluation is recommended.
Common Migraine Features
- Throbbing or pressure headache
- Nausea or vomiting
- Light sensitivity or sound sensitivity
- Aura such as visual shimmering or numbness
New neurologic symptoms, worst headache of life, or sudden severe headache are not telehealth problems. Seek emergency care.
Quick Answers
- Telehealth is best for stable migraine patients needing refills of non-controlled medications
- We review diagnosis history, headache pattern, frequency, and red flags before refilling
- Overuse of acute medicines can worsen headaches and lead to medication overuse headache
- We do not prescribe opioids, benzodiazepines, or other controlled substances
- You must be physically located in Florida at the time of the visit
What Are Migraine Refills?
A migraine refill visit focuses on safety and continuity. We confirm your migraine history and current headache pattern, review prior benefit and side effects, screen for secondary headache red flags, and then refill appropriate non-controlled migraine medications when it is safe to do so.
TeleDirectMD is a good fit for adults who already have a migraine diagnosis and need refills for medications that have been working, or who need a short bridge refill while arranging long-term primary care or neurology follow-up.
Migraine Symptoms and Red Flags
This table highlights common migraine features, what they may suggest, and when in-person evaluation is safer.
| Finding | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person care |
|---|---|---|---|
| Recurrent headaches with nausea and light sensitivity | Typical migraine pattern | Often yes | Sudden severe headache reaching peak within minutes |
| Visual aura that is similar to prior episodes | Migraine with aura | Often yes | New persistent neurologic deficit or vision loss |
| Headaches increasing in frequency after frequent acute meds | Medication overuse headache risk | Often yes | Confusion, fainting, or severe dehydration |
| Headache with mild URI symptoms | Trigger related flare | Often yes | Fever with stiff neck or rash |
| Headache after head injury | Post-traumatic headache concern | Sometimes for triage | Worsening headache, vomiting, severe drowsiness, or neurologic symptoms |
What Else Can Cause Headaches?
- Tension-type headache: pressure or tightness, usually without nausea or light sensitivity.
- Sinus-related pain: facial pressure with nasal symptoms, often not true migraine.
- Cluster headache: severe one-sided pain with tearing or nasal congestion on one side.
- Secondary headache: headache due to bleeding, infection, vascular issues, glaucoma, or other causes.
- Medication overuse headache: headaches worsened by frequent use of acute meds.
When a Florida Video Visit Is Appropriate vs. When to Go In-Person
When a Video Visit Is Appropriate
- Adult 18+ located in Florida at the time of the visit
- Known migraine history and stable pattern
- Requesting refills of non-controlled migraine medications
- No worst headache of life and no sudden onset peak pain
- No new neurologic deficits, confusion, or fainting
Red Flags Requiring In-Person or ER Care
- Sudden severe headache reaching maximum intensity within minutes
- New weakness, numbness, facial droop, confusion, fainting, or seizure
- Fever with stiff neck, severe illness, or rash
- New headache after age 50 or cancer or immune suppression concerns
- Headache with vision loss, severe eye pain, or after significant head injury
Migraine Refill Approach and Treatment Options
Refill visits focus on safe continuation. We review how often you have headaches, what you use for acute attacks, whether preventive medication is helping, and whether any changes suggest a higher-risk cause of headache.
Supportive Habits That Often Help
- Hydration and consistent sleep schedule
- Regular meals and limiting trigger foods when identified
- Reducing medication overuse, especially frequent acute pain medicines
- Gradual caffeine consistency, avoid frequent swings
Medication Table
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Sumatriptan tablets | 50 mg by mouth at onset, may repeat once after 2 hours | As needed | Acute migraine attacks in appropriate patients without contraindications |
| Rizatriptan tablets | 10 mg by mouth at onset, may repeat once after 2 hours | As needed | Acute migraine attacks in appropriate patients |
| Topiramate | 50 mg by mouth BID | Ongoing | Preventive therapy continuation when stable and tolerated |
| Propranolol | 20 mg by mouth BID | Ongoing | Preventive therapy continuation when appropriate and blood pressure allows |
| Ondansetron ODT | 4 mg by mouth every 8 hours as needed | As needed | Nausea support with migraine when appropriate |
TeleDirectMD does not prescribe controlled substances. If your headache pattern is changing, your headaches are becoming frequent or daily, or red flags are present, in-person evaluation is recommended.
Home Care and What to Expect
Many people improve with a consistent plan that includes trigger awareness, safer acute medication use, and preventive therapy when needed. If you are using acute headache medication frequently, you may be at risk for medication overuse headache and may need a preventive strategy.
- Track headache frequency and triggers for 2 weeks to 4 weeks
- Limit frequent acute pain medicine use when possible
- Seek urgent care for new neurologic symptoms or sudden severe headache
- Follow up if you are not improving or headaches are increasing in frequency
What to Expect From Your TeleDirectMD Migraine Refill Visit in Florida
TeleDirectMD provides adult-only, MD-only virtual care by secure video. Visits are $49 as a flat cash fee with no insurance required. If appropriate, migraine medications can be refilled and sent electronically to your preferred pharmacy in Florida.
Adults only. You must be physically located in Florida at the time of your visit.
Florida Migraine Refills Telehealth FAQ
Can TeleDirectMD provide migraine refills online in Florida?
Yes. TeleDirectMD provides MD-only video visits for adults in Florida and can refill appropriate non-controlled migraine medications after a safety-focused evaluation.
Do I need a prior migraine diagnosis to request a refill?
It helps. Refill visits work best when you have an established diagnosis and a stable pattern. If your symptoms are new or changing, in-person evaluation may be recommended.
What migraine medications can be refilled through TeleDirectMD?
Common non-controlled migraine medications may be considered, including certain triptans and preventive medicines, when clinically appropriate and safe based on your history.
Do you prescribe controlled substances for migraine?
No. TeleDirectMD does not prescribe controlled substances.
What is medication overuse headache?
Using acute headache medicines too often can worsen headaches over time. If you are needing acute medication frequently, a preventive strategy may be safer.
When should I go to the ER for a headache?
Go urgently for sudden severe headache, new weakness or numbness, confusion, fainting, seizure, fever with stiff neck, vision loss, or headache after significant head injury.
Can you refill preventive migraine medication?
Sometimes. If you are stable and the medication is non-controlled, refills may be appropriate after reviewing your current headache frequency, side effects, and safety factors.
Can I get nausea medication for migraine?
Sometimes. If appropriate, anti-nausea medication may be prescribed as supportive care.
Can you provide a work note?
TeleDirectMD can usually provide a brief work note when medically appropriate as part of the $49 visit. We do not complete long-term disability, FMLA, or accommodation paperwork.
Is TeleDirectMD available across Florida?
Yes. As long as you are physically located in Florida at the time of the video visit, you can be evaluated.