Headaches: Migraines Medications in the Hospital, ER, or Clinic

Clinic A/P, adults, Hospital A/P, Adults, Pharmacy and Therapeutics

The following are four medications you can use to treat migraines in an urgent setting in hospital, ER, or Clinic

  1. Start with Sumatriptan 6 mg subcutaneous injection
  2. Antiemetics/Dopamine receptor blockers :
    1. Metoclopramide 10 mg intravenous (IV)
    2. Prochlorperazine 10 mg IV or intramuscular (IM)
    3. Chlorpromazine 0.1 to 1 mg/kg IV
  3. Dihydroergotamine (1 mg IV) combined with metoclopramide (10 mg IV)
  4. Ketorolac 30 mg IV or 60 mg IM

“For patients who are treated in the emergency department or clinic for a migraine headache with one of the standard migraine abortive therapies, we recommend adjunctive treatment with dexamethasone (10 to 25 mg IV or IM) to reduce the risk of early headache recurrence.”

Read this Uptodate.com article: http://www.uptodate.com/contents/acute-treatment-of-migraine-in-adults

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