Ask for a letter outlining the recommendations and be sure to take it with you to the ER. It’s best to talk with your doctor during a regular appointment about which medications they would recommend for you in the ER. Which medications an ER chooses to use depends on each patient’s needs. For these patients, the guidelines include alternate lists of drugs. The expert panel is aware that those drugs may not be effective for every patient or that patients may have already reached their maximum number of triptans for the day. Patients should also be given a prescription for dexamethasone, a steroid, to take at home to prevent the migraine from recurring. Recommended medications for the first visitįor a patient’s first visit to the ER during a migraine attack, the experts who created the guidelines recommend an Imitrex (sumatriptan) injection and Reglan (metoclopramide) and Compazine (prochlorperazine) by IV.
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