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

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 demons...

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Detalles Bibliográficos
Autores principales: Dodson, Haley, Bhula, Jay, Eriksson, Sven, Nguyen, Khoa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990028/
https://www.ncbi.nlm.nih.gov/pubmed/29881652
http://dx.doi.org/10.7759/cureus.2439
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author Dodson, Haley
Bhula, Jay
Eriksson, Sven
Nguyen, Khoa
author_facet Dodson, Haley
Bhula, Jay
Eriksson, Sven
Nguyen, Khoa
author_sort Dodson, Haley
collection PubMed
description 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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spelling pubmed-59900282018-06-07 Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times Dodson, Haley Bhula, Jay Eriksson, Sven Nguyen, Khoa Cureus Emergency Medicine 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. Cureus 2018-04-06 /pmc/articles/PMC5990028/ /pubmed/29881652 http://dx.doi.org/10.7759/cureus.2439 Text en Copyright © 2018, Dodson et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Dodson, Haley
Bhula, Jay
Eriksson, Sven
Nguyen, Khoa
Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times
title Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times
title_full Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times
title_fullStr Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times
title_full_unstemmed Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times
title_short Migraine Treatment in the Emergency Department: Alternatives to Opioids and their Effectiveness in Relieving Migraines and Reducing Treatment Times
title_sort migraine treatment in the emergency department: alternatives to opioids and their effectiveness in relieving migraines and reducing treatment times
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990028/
https://www.ncbi.nlm.nih.gov/pubmed/29881652
http://dx.doi.org/10.7759/cureus.2439
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