, Volume 7, Issue 6, pp 413-415
Date: 10 Dec 2006

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

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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.

These findings were presented in a preliminary form at the 12th International Headache Congress at Kyoto, Japan, October 2005