Tags

Type your tag names separated by a space and hit enter

Acute Migraine Headache: Treatment Strategies.
Am Fam Physician. 2018 Feb 15; 97(4):243-251.AF

Abstract

Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen and nonsteroidal anti-inflammatory drugs are first-line treatments for mild to moderate migraines, whereas triptans are first-line treatments for moderate to severe migraines. Although triptans are effective, they may be expensive. Other medications such as dihydroergotamine and antiemetics are recommended for use as second- or third-line therapy for select patients or for those with refractory migraine. The pharmacologic properties, potential adverse effects, cost, and routes of administration vary widely, allowing therapy to be individualized based on the pattern and severity of attacks. Several treatment principles, including taking medication early in an attack and using a stratified treatment approach, can help ensure that migraine treatment is cost-effective.

Authors+Show Affiliations

University of Kansas School of Medicine, Wichita, KS, USA.University of Kansas School of Medicine, Wichita, KS, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29671521

Citation

Mayans, Laura, and Anne Walling. "Acute Migraine Headache: Treatment Strategies." American Family Physician, vol. 97, no. 4, 2018, pp. 243-251.
Mayans L, Walling A. Acute Migraine Headache: Treatment Strategies. Am Fam Physician. 2018;97(4):243-251.
Mayans, L., & Walling, A. (2018). Acute Migraine Headache: Treatment Strategies. American Family Physician, 97(4), 243-251.
Mayans L, Walling A. Acute Migraine Headache: Treatment Strategies. Am Fam Physician. 2018 Feb 15;97(4):243-251. PubMed PMID: 29671521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute Migraine Headache: Treatment Strategies. AU - Mayans,Laura, AU - Walling,Anne, PY - 2018/4/20/entrez PY - 2018/4/20/pubmed PY - 2019/5/29/medline SP - 243 EP - 251 JF - American family physician JO - Am Fam Physician VL - 97 IS - 4 N2 - Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen and nonsteroidal anti-inflammatory drugs are first-line treatments for mild to moderate migraines, whereas triptans are first-line treatments for moderate to severe migraines. Although triptans are effective, they may be expensive. Other medications such as dihydroergotamine and antiemetics are recommended for use as second- or third-line therapy for select patients or for those with refractory migraine. The pharmacologic properties, potential adverse effects, cost, and routes of administration vary widely, allowing therapy to be individualized based on the pattern and severity of attacks. Several treatment principles, including taking medication early in an attack and using a stratified treatment approach, can help ensure that migraine treatment is cost-effective. SN - 1532-0650 UR - https://www.unboundmedicine.com/medline/citation/29671521/Acute_Migraine_Headache:_Treatment_Strategies_ L2 - https://www.aafp.org/link_out?pmid=29671521 DB - PRIME DP - Unbound Medicine ER -