The Oxford pain site is very useful, especially the NNT comparison tables.
http://www.jr2.ox.ac.uk/bandolier/booth/booths/migraine.html
Al
Alistair Billington MB ChB, MRCS, MCEM
Specialist Registrar in Emergency and Intensive Care Medicine
E-Mail: [log in to unmask]
On Friday, July 28, 2006, at 02:34PM, Adrian Fogarty <[log in to unmask]> wrote:
>That's excellent stuff Paul, many thanks.
>
>Regards to Duncan (whom I seem to recall was a neurologist for part of his
>career!)
>
>A
>
>
>----- Original Message -----
>From: "Atkinson, Paul" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Friday, July 28, 2006 9:39 AM
>Subject: Re: Migraine/Triptan therapy
>
>> Adrian
>>
>> We still have limited access to triptans at Addenbrookes, and use NSAID
>> plus
>> Dopamine antagonist with IV fluids (see attached guideline) -
>> interestingly
>> the clinical evidence site does not rate Dopamine antagonists (see 1208
>> attached) but best bets has supporting evidence (see output, attached)
>>
>> Hope this helps
>>
>> Regards
>>
>> Paul
>>
>>
>> Dr Paul Atkinson MRCP(UK) FCEM
>> Consultant in Emergency Medicine
>> Box 87
>> Cambridge University Hospitals
>> Hills Road
>> Cambridge CB2 2QQ
>>
>> Tel. 01223 217792
>> www.emergencyultrasound.org.uk
>>
>>
>> -----Original Message-----
>> From: Adrian Fogarty [mailto:[log in to unmask]]
>> Sent: 28 July 2006 07:47
>> To: [log in to unmask]
>> Subject: Migraine/Triptan therapy
>>
>> What is the accepted wisdom on the management of acute migraine these
>> days?
>> Do most people stick with the tried-and-tested methods of analgesia,
>> anti-emetics and fluids? Or do many of you now use triptans, and if so, in
>> which particular patients or perhaps as a routine? Am finding it very
>> difficult to find any good evidence or consensus on this particular
>> question. Any advice gratefully received.
>>
>> AF
>>
>>
>
>
Alistair Billington MB ChB, MRCS, MCEM
Specialist Registrar in Emergency and Intensive Care Medicine
E-Mail: [log in to unmask]
Mobile: 07976 267186
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