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Guideline Management of the acute migraine headache. free! 2002
Aukerman G, Knutson D, Miser WF, Anonymous00321. · Department of Family Medicine, Ohio State University College of Medicine and Public Health, Columbus, Ohio 43201, USA. · Am Fam Physician. · Pubmed #12484694 links to free full text
Abstract: As many as 30 million Americans have migraine headaches. The impact on patients and their families can be tremendous, and treatment of migraines can present diagnostic and therapeutic challenges for family physicians. Abortive treatment options include nonspecific and migraine-specific therapy. Nonspecific therapies include analgesics (aspirin, nonsteroidal anti-inflammatory drugs, and opiates), adjunctive therapies (antiemetics and sedatives), and other nonspecific medications (intranasal lidocaine or steroids). Migraine-specific abortive therapies include ergotamine and its derivatives, and triptans. Complementary and alternative therapies can also be used to abort the headache or enhance the efficacy of another therapeutic modality. Treatment choices for acute migraine should be based on headache severity, migraine frequency, associated symptoms, and comorbidities.
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