Managing Migraine
Apr 26, 2021•17 min
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Episode description
Migraines are no longer considered a vascular headache and now considered a neurologic disorder of dysfunctional nociceptive processing. Diagnosis is completed clinically with no lab or imaging usually needed. Treatment includes - Antidopaminergics (Metoclopramide & Prochlorperazine) - Triptans (Sumatriptan) - Nonsteroidals (Ketorolac). Consider steroids to lessen the risk of recurrence. Opioids should be avoided and are last line. Most patients don’t need specialist referral.
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