Managing Migraine

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Manage episode 290969686 series 2866943
By W. Richard Bukata, MD, W. Richard Bukata, and MD. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Migraines are no longer considered a vascular headache and now considered a neurologic disorder of dysfunctional nociceptive processing. Diagnosis is completed clinically with no lab or imaging usually needed. Treatment includes - Antidopaminergics (Metoclopramide & Prochlorperazine) - Triptans (Sumatriptan) - Nonsteroidals (Ketorolac). Consider steroids to lessen the risk of recurrence. Opioids should be avoided and are last line. Most patients don’t need specialist referral.
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