What is your first-line therapy for acute migraine treatment in the ER?
2 Answers
Mednet Member
Neurology · Greater Boston Headache Center at Boston Advanced Medicine
Regarding the abortive and preventive treatment of migraine, in the office or ER, we should focus on migraine-specific medications. These are the ergots, triptans, and gepants abortively, and the CGRP antibodies and gepants preventively. The patients who visit ERs every so often tend to have headach...
Mednet Member
Neurology · UPMC
I would still use ketorolac 30mg IV+ prochlorperazine 10mg IV + diphenhydramine 25mg IV (mainly to decrease akathisia side effects of prochlorperazine). Would add Dexamethasone IV due to the evidence of decreasing the risk of headache recurrence. Then as second line in no particular order would cons...