Peter McAllister, MD, is Medical Director at the New England Institute for Neurology and Headache and Chief Medical Officer for the New England Institute for Clinical Research and Ki Clinical Research, all located in Stamford, Conn.
When a headache patient arrives for follow-up with a full-blown migraine in progress, what can you do to help? Referral to the emergency department is rarely ideal and calling a neurologist colleague for a same-day appointment most likely won't work.
In our practice we keep 5 injectable medications on hand -- they're inexpensive, easily stored, and can be invaluable for your next patient in distress. Following are 5 questions on what could turn into simple injectable solutions.
Q1: In a recent study done in the emergency department at New York University, which of the following was felt to be the most effective abortive agent for acute migraine?
A. Metoclopramide (Reglan)
B. Ketorlac (Toradol)
C. Lidocaine (Xylocaine)
D. Ondansetron (Zofran)