Migraines
Migraine is an episodic headache syndrome characterized by recurrent attacks that vary widely in intensity, frequency, and duration. Migraine headaches usually develop over a period of minutes to hours progressing from a dull ache to a more intense pulsating pain that worsens with each pulse. Symptomatic treatment strategies include:
- Dihydroergotamine Mesylate (DHE): DHE is rapidly effective in most patients and is especially valuable in the treatment of moderate or severe attacks, as well as intractable migraine. It is probably the pharmacological treatment of choice for symptomatic relief of migraine. DHE may be administered by mouth (PO), rectally (PR), sublingually (SL), intravenously (IV), intramuscularly (IM), subcutaneously (SC), or intranasally (IN).
- Sumatriptan: Is appropriate for the treatment of attacks that are moderate to severe. It can be administered subcutaneously or oral.
- Intranasal Lidocaine: Available in drops or spray
- Ergotamine: Rectal administration more reliable absorption than oral or sublingual
- Oral aspirin and metoclopramide: 900 mg aspirin + 10 mg metoclopramide
- NSAID’s
- Opioids
Compounded Formulas
- Dihydroergotamine Mesylate (DHE) Spray 0.25%
- Dihydroergotamine Mesylate (DHE) and Metoclopramide 5 mg Troche (Lozenger)
- 4% Lidocaine Nasal Drops or Spray
- Headache Prevention: Riboflavin (B2) 400 mg + Magnesium 400 mg + Feverfew 100 mg (po qhs)
- Sumatriptan Nasal Spray
- Ergotamine 2 mg SL tabs
- Tizanidine 2% / Magnesium Chloride 10% / Ketoprofen 10% 4038 Gel
- Migraine Away Caps: Ibuprofen 200 mg / Riboflavin 200 mg / Caffeine 30 mg / Ginger Root 11.5 mg
Division:
