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
>
>
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