Migraine (acute treatment)
- Treat early in the attack
- NSAID/acetaminophen for mild–moderate pain
- Triptan for moderate–severe or NSAID failure
- Gepant if triptan fails/is contraindicated
- Lasmiditan avoids vasoconstriction but sedates
- Add antiemetic when nausea is prominent
- Avoid opioids + medication overuse
Use at a glance
- Treat early in the attack
Practical pearls
- NSAID/acetaminophen for mild–moderate pain
- Triptan for moderate–severe or NSAID failure
Safety / pitfalls
- Gepant if triptan fails/is contraindicated
- Add antiemetic when nausea is prominent
Treatment pitfalls
- Lasmiditan avoids vasoconstriction but sedates
- Avoid opioids + medication overuse
Self-check
- What should be treated in Migraine (acute treatment)?
early in the attack.
- When should antiemetic be added in Migraine (acute treatment)?
nausea is prominent.
Drugs used for this (15)
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