Toradol is a non-steroidal anti-inflammatory drug that is used to relieve pain
Metoclopramide (Reglan) Oral formulation: Prochlorperazine — Promethazine — Dihydroergotamine, intranasal (Migranal) Severe nausea is common: Parenteral NSAID (ketorolac) —
It is characterized by episodes of severe headache often accompanied by
In this ED-based, double-blind, randomized clinical trial of treatment for acute migraine
Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can help
There will be a huge reduction in ER visits as well as extrememly high
Migraine without aura
If the headache does not resolve in 15-30 minutes, giveketorolac (Toradol) 30 Some docs mix supercharged NSAIDs like ketorolac (Toradol) into migraine cocktails
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Methods: This was a randomized, double-blind, clinical trial comparing 2 active treatments for acute migraine
1993 Nov;11 (6):573-5
IV The classic migraine cocktail includes: Reglan (or other dopamine antagonist), Benadryl, Toradol, Decadron, and IV fluids
Some clinicians also administer diphenhydramine 25 mg IV with the first dose
Patients were randomized to receive 2 vials of medication, either 20 mg IV metoclopramide and 25 mg IV diphenhydramine or 30 mg IV ketorolac and normal saline
As noted earlier, there are multiple different medical therapies available to treat headache pain and many may be used in combination
I am wondering what your er does as far as migraine treatment
This systematic review examined the effectiveness of parenteral ketorolac (KET) in acute migraine
Gavaghan, MD, Jno Disch
If additional medications administered in ED, advance along pathway as clinically indicated
Neurology 2014; 82:976
snows people less and gets them out the door sooner, plus no one gets IV benadryl
Ketorolac has a sting going in, and I find it helpful to warn
Approximately 1 in 7 American adults suffer from migraines, and the economic costs in 2016 were estimated to be $36 billion
DHE 1
i have a pretty high success rate at breaking status and often discharge home
The most common migraine cocktail that we see is a triptan and naproxen or naproxen sodium