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J Headache Pain. 2006 Dec;7(6):413-5. Epub 2006 Dec 10.

Narcotic analgesics for acute migraine in the emergency room: are we meeting Headache Societies' guidelines?

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  • 1Department of Neurology, The Aga Khan University, and Department of Medicine, Abbasi Shaheed Hospital, Karachi, 74800, Pakistan. mohammad.wasay@aku.edu

Abstract

We analysed 161 patients with acute migraine in our emergency room (ER) to identify the use of narcotic analgesics as first-line treatment. Twenty-four percent of patients were treated with opioid analgesics and 76% patients were treated with non-opioid analgesics. Pain was completely relieved in 100 (62%) patients, partially relieved in 50 (31%) patients and was not relieved in 11 (7%) patients at the time of discharge. Pain relief was not related to the use of opioids vs. non-opioids. The treatment of acute migraine in our ER is in line with the guidelines of the Headache Societies and needs further improvement.

PMID:
17149566
[PubMed - indexed for MEDLINE]
PMCID:
PMC3452227
Free PMC Article
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