Migraine EBM

Question 1

Ibuprofen and tylenol as migraine treatment

Answer 1

Can work - shown to be effective

Question 2

First line treatment for migraines

Answer 2

ketoralac

Question 3

True or false - patients prescribed narcotics tended to return to the ED

Answer 3

True

Question 4

Ketoralac for migraines

Answer 4

No difference between ibuprofen and ketoralac IM for MSK pain - may not apply to headaches

Question 5

Ketoralac for migraines

Answer 5

In adults compared to demoral - about the same - but compared to sumatriptan toradol did better

Question 6

Toradol compared to compazine for migraines

Answer 6

Compazine( prochlorpromazine) appeared to do 30% better in one study amongst children ( treatment success was complete resolution or 50% resolution

Question 7

Metoclopramide vs. valproate vs ketoralac

Answer 7

Patients with metoclopramide - best improvement in adults in their pain score with fewer rescue meds

Question 8

Metoclopramide vs. prochloperazine

Answer 8

prochloperazine appears to be more favored

Question 9

Tardive dyskinesia - late orearly finding

Answer 9

Tardive - late