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I haven't seen the study yet, however...
I have tried it so far in four patients. The protocol is something like
this ....
4% Lignocaine (lidocaine for Americans) by metered dose spray (doesn't
acrtually come in one and needs to be either extemporaneously prepared by a
pharmacist or via a recycled Rhinocort insufflator bottle) given up to 5
puffs or so to affected (ipsilateral) nostril. Relief is quick but last
only 20-30 minutes.
As one of my more habitual sufferers (of migraine) stated last week "It
didn't work for me, but I do think it has a place ..."
I guess for a sufferer of bad migraine even 20 minutes relief would be
blissful.
I will keep offering it until I get a feel for it.
PS: The above patient said she hated Imigran (sumatriptan) as it gave her
an awful feeling of "cardiovascular" disturbance

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> From: John Sanfey <[log in to unmask]>
> To: gp-uk discussion <[log in to unmask]>
> Subject: New Migraine Rx - info?
> Date: Wednesday, 30 October 1996 10:35
>
> Dear all,
> 	A patient gave me a newspaper cutting from a newspaper reporting that
> nose drops containing Lidocaine provided rapid and effective pain relief
in 55%
> of patients with migraine according to a study by Southern California
Permanent
> Medical Group. Relief occured within 5 minutes. 40% of those who did
respond had
> a relapse within an hour however.
>
> Has anyone heard of this interesting study?
>
> John Sanfey
>


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