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Which IV medications do you offer for outpatient headache infusions?

If a patient is has GERD or avoids NSAIDs, do you avoid Ketorolac IV?
3 Answers
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Neurology · Greater Boston Headache Center at Boston Advanced Medicine
Answered on

Eptinezumab (Vyepti) in a dose of 100 or 300 mg. It is a CGRP antibody marketed for the preventive treatment of episodic or chronic migraine. However, in a randomized, double-blinded, placebo-controlled trial treating patients with 100 mg IV for moderate or severe migraine headache, it met the FDA-d...

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Neurology · Quinnipiac Netter School of Medicine
Answered on

In Addition to Vyepi infusion or other CGRP inhibitors injection, the following are possible:

  • IV Metoclopromide 10 mg
  • IV Benadryl 50 mg
  • IV Depacon 500 mg can be repeated in 1- 2 hours
  • IV Decadron 10 mg
  • IV Magnesium Sulfate 1 gram
  • Ketorolac 60 mg IV or IM if no GI or NSAIDs allergy contraindications...

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Neurology · New York-Presbyterian/Queens
Answered on

Intranasal sphenopalatine ganglion blocks are being used as well. My personal preference is to use a suprazygomatic approach as I feel it is more effective and reliable.

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