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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