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The acute treatment of migraine in adults: the american headache society evidence assessment of migraine pharmacotherapies.

Author: MarmuraMichael J, SchwedtTodd J, SilbersteinStephen D

ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

This review provides an updated assessment of the evidence for pharmacological therapies used to treat acute migraine attacks. The study focused on medications available from 1998 to 2013 and evaluated their effectiveness based on the level of evidence. Triptans and dihydroergotamine are effective (Level A). Ergotamine and other forms of dihydroergotamine are likely effective (Level B). Acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, sumatriptan/naproxen, and acetaminophen/aspirin/caffeine are effective nonspecific medications (Level A). Ketoprofen, intravenous and intramuscular ketorolac, flurbiprofen, intravenous magnesium, and the combination of isometheptene compounds, codeine/acetaminophen, and tramadol/acetaminophen are likely effective (Level B). Antiemetics prochlorperazine, droperidol, chlorpromazine, and metoclopramide are also likely effective (Level B). While opioids like butorphanol, codeine/acetaminophen, and tramadol/acetaminophen are probably effective, they are not recommended for regular use due to their potential side effects.
Paper Details　
Original Abstract of the Article :
The study aims to provide an updated assessment of the evidence for individual pharmacological therapies for acute migraine treatment. Pharmacological therapy is frequently required for acutely treating migraine attacks. The American Academy of Neurology Guidelines published in 2000 summarized the a...See full text at original site
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引用元：
https://doi.org/10.1111/head.12499

データ提供：米国国立医学図書館（NLM）

Navigating the Desert of Migraine: A Guide to Effective Treatments

Migraine, a debilitating condition that affects millions, is like a fierce desert sandstorm, leaving sufferers disoriented and in pain. This research aims to guide us through the desert of migraine treatment options, providing an updated evidence-based assessment of various pharmacological therapies for acute migraine attacks. The study systematically reviewed the available evidence on the effectiveness of different medications, focusing on those published between 1998 and 2013. The results provide a comprehensive roadmap for healthcare providers seeking the most effective treatments for their patients.

Finding Oasis in the Migraine Desert

The research found strong evidence for the effectiveness of triptans and dihydroergotamine, medications that effectively calm the migraine sandstorm. Additionally, nonspecific medications like acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain combinations of medications also proved effective. This research provides reassurance that there are effective treatments available, offering hope for relief from the debilitating pain of migraine attacks.

Staying Hydrated in the Migraine Desert

The research emphasizes the importance of carefully considering the potential side effects and risks associated with each medication. It also highlights the need for appropriate use of medications like opioids, which while potentially effective, should not be used regularly. This underscores the importance of a comprehensive approach to migraine management, involving both medication and lifestyle strategies. Think of it as finding a sustainable balance between the oasis of relief and the potential dangers of the desert.

Dr.Camel's Conclusion

Migraine, a debilitating condition that feels like a desert sandstorm, can be effectively treated with various medications. This research provides a valuable guide for healthcare providers, outlining the evidence-based effectiveness of different therapies. It highlights the importance of considering both the benefits and risks of each treatment, ultimately offering a roadmap for finding relief in the migraine desert.

Date :
  1. Date Completed 2015-08-19
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

25600718

DOI: Digital Object Identifier

10.1111/head.12499

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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