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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
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 ... Gepants, Ergots Non-pharmacologic ... neudrawlogy #Migraine ... #management #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 ... Medications #Table #Pharmacology ... #Management #Neurology
Migraine Treatment Overview

 • What is a Migraine?
 • Pathophysiology
 • Common Migraine Triggers
 • Diagnosis
Migraine Treatment ... • What is a Migraine ... #Treatment #management ... #pharmacology # ... prophylaxis #neurology
Migraine - Preventative Treatments

 • Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 • Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... #management #prophylaxis ... #prevention #pharmacology ... #neurology
Prophylactic Migraine Medications

Established Efficacy: 
 • Metoprolol, Propranolol, Timolol, Divalproex, Valproate, Topiramate, Frovatriptan
Probably Effective: 
 •
Prophylactic Migraine ... Cyproheptadine #Migraine ... #Medications #pharmacology ... #EBM #neurology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Triptan Selection - Migraine ... Management Choosing ... #Management #treatment ... #neurology #pharmacology ... selection #headache #neurology
Antibiotic Regimens Recommended for Group A Streptococcal Pharyngitis
For individuals without penicillin allergy:
 • Penicillin V, oral
Antibiotic Regimens ... #Pharyngitis #Antibiotics ... #management #treatment ... #pharmacology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... • In migraines ... > episodic migraine ... Photophobia #Headache #differential ... ophthalmology #Neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... 20 mg/min -> Neurology ... #management #algorithm ... #treatment #prevention ... #prophylaxis #neurology