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Discussion

Migraines

I am in awe of the number of students I have with "migraines". They come in smiling, saying "oh, I have a migraine" and proceed to talk non stop. They balk at having the lights off and door shut for quiet. I have one in my office now and he doesn't even mind me typing on this old, noisy keyboard. Most have imitrex or Maxalt prescriptions, meaning some physician believes this stuff. Our future for pain management seems extremely bleak.

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I have a question. I have a student that mother said he needs to take some small tiny white round pills (kinda flat) for headaches. The RX form says Metoclopramide 5mg, for onset of headache.

Is that for migranes or what can it be used for?

Typically it's for nausea. In the ER, we regularly gave it along with other meds as our migraine cocktail. It *can* be used alone for migraines, but it's rarely given that way.

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