what is an appropriate migraine treatment

Specialties NP

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I use bendaryl dilaudid and reglan which is always ineffective what do you guys use?

Specializes in Internal medicine/critical care/FP.

one of my pharm books said narcs make it worse, hence why i don't use. haven't looked it up since then though, i just go with what my group uses. inpatient wise, a migraine is the least of our worries lol.

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from primary care for onset triptans (different ones work for different pts), toradol injections, fiorecet and combo of nsaid with benadyl is what i give that has been most successful depending on pt but if getting more than a few a month propranolol, topamax, or sometimes antidepressant low dose such as nortyptaline at night as been effective for prevention but where i live you have to make sure is in state formulary along with in sca as off-label use

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Specializes in Emergency, Telemetry, Transplant.

The vast majority of our migraine cocktails in the ED include IV Compazine. One ER doc told me it is "the most effective" migraine abortive agent.

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Imitrex, compazine, reglan, benadryl, toradol or any mix of those. Just do not use morphine, dilaudid or any other narc

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Specializes in Internal medicine/critical care/FP.

If a patient states that any narcotic is the only thing that works for their migraine besides phenobarbital....They are instantly crowned as a pill seeker. No evidence that narks work

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