Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times

被引：15

作者：

Dodson, Haley ^{[1
]}

Bhula, Jay ^{[1
]}

Eriksson, Sven ^{[2
]}

Khoa Nguyen ^{[1
]}

机构：

[1] Univ Cent Florida, Coll Med, Orlando, FL 32816 USA

[2] UCF Coll Med, Med, Orlando, FL USA

来源：

CUREUS | 2018年 / 10卷 / 04期

关键词：

migraine; opioids; d2 receptor antagonist; metoclopramide; prochlorperazine;

D O I：

10.7759/cureus.2439

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The objective of this literature review is to evaluate the efficacy of opioids for the treatment of headaches, particularly migraines, in the emergency department (ED). Despite safer alternatives, opiates are routinely used as an abortive treatment for migraine headaches. The studies reviewed demonstrate that opiates are less effective in terminating acute headaches and result in prolonged ED visits. Dopamine receptor antagonists, such as metoclopramide and prochlorperazine, were the most efficacious in terminating migraines in the studies examined.

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页数：8

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