Continuum : lifelong learning in neurology
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Continuum (Minneap Minn) · Aug 2015
ReviewRisk Factors for and Management of Medication-Overuse Headache.
This review focuses on patients with migraine who frequently use acute medications. ⋯ Although the relationship of the primary headache disorder and the pattern of overuse varies, medication-overuse headache is a secondary disorder attributable to the overuse of acute medications. While distinguishing chronic migraine and medication-overuse headache may not always be possible, treatment approaches are similar for the two disorders.
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Continuum (Minneap Minn) · Aug 2015
Emergency Department and Inpatient Management of Status Migrainosus and Intractable Headache.
This article discusses the treatment of status migrainosus in the emergency department and the treatment of intractable migraine in an inpatient setting. ⋯ Treatment of status migrainosus and intractable migraine should focus on adequate fluid hydration and combination IV therapy with multiple nonopioid medications from multiple drug classes. Dopamine receptor antagonists appear to have some of the highest medical evidence for efficacy.