When do you find benefit in sequencing different dopamine receptor blockers for emergency treatment of migraine?
E.g., offering metoclopramide after initial prochlorperazine was not successful.
Answer from: at Community Practice
I know that these medications given intravenously have been found effective abortively in randomized, double-blinded, placebo-controlled trials. Prior to the advent of the triptans in the early nineties, I often treated migraine headaches abortively with metoclopramide 10 mg orally, in 15 minutes, f...
Comments
at Providence Dr. @Spierings,
Thank you for your historical per...
at Greater Boston Headache Center at Boston Advanced Medicine Thank you for remembering, Dr. @Wolinsky. I hope y...
Prochlorperazine has the strongest evidence of efficacy for IV acute treatment of migraine disorder. I have not routinely switched to metoclopramide IV if prochlorperazine was not effective. I am not aware of specific studies to guide this answer.
We do switch treatments within the same class when ...
Dr. @Spierings, Thank you for your historical per...
Thank you for remembering, Dr. @Wolinsky. I hope y...