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Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... of Migraine - ... BrighamChiefs #Migraine ... #Treatment #management ... #neurology #headache
Migraine Treatment Overview

 • What is a Migraine?
 • Pathophysiology
 • Common Migraine Triggers
 • Diagnosis
Migraine Treatment ... • What is a Migraine ... Prophylactic Treatment ... Bulbital-containing meds ... #prophylaxis #neurology
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
Pharmacotherapy for Migraine ... indicated for migraine ... appropriate acute treatment ... , or those who are ... Pharmacology #Management #Neurology
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... of Migraine Mild ... neudrawlogy #Migraine ... #acute #treatment ... #management #neurology
Migraine - Preventative Treatments

 • Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 • Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... Beta-blockers, ACE ... neudrawlogy #Migraine ... #pharmacology #neurology
Migraines in Children

Similar to migraine in adults - Main differences:
 • Shorter Duration: 2h*-72h (In adults:
Migraines in Children ... Similar to migraine ... episodic syndromes are ... #Children #peds ... pediatrics #diagnosis #neurology
Drugs Useful in the Treatment and Prophylaxis of Migraine Headaches
Several classes of drugs are effective in
Useful in the Treatment ... classes of drugs are ... • Triptans are ... and ibuprofen, are ... #Treatment #Prophylaxis
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... Algorithm: Acute migraine ... 20 mg/min -> Neurology ... management #algorithm #treatment ... #prophylaxis #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Syndrome (PRES) - Treatment ... titratable IV meds ... are preferred Seizure ... Encephalopathy #Syndrome #Treatment ... #Management #Neurology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Triptan Selection - Migraine ... Rapidly progressing migraine ... #Management #treatment ... #neurology #pharmacology ... selection #headache #neurology