{"id":401,"date":"2013-02-01T18:23:54","date_gmt":"2013-02-01T23:23:54","guid":{"rendered":"http:\/\/emeddoc.org\/?p=401"},"modified":"2013-02-01T18:25:28","modified_gmt":"2013-02-01T23:25:28","slug":"ketorolac-in-the-treatment-of-acute-migraine-a-systematic-review","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=401","title":{"rendered":"Ketorolac in the Treatment of Acute Migraine: A Systematic Review"},"content":{"rendered":"<p><span style=\"font-family: arial,helvetica,sans-serif;\">There are different approaches <\/span>to Migraine HA, Narcotics, Triptans, NSAIDS, Steroids, &#8230; but my approach is combination of Metoclopramide and Diphenhydramine.<\/p>\n<p>Headache <span><span>&#8220;<\/span>The Journal of Head and Face Pain&#8221; Publishe<span>d <span>a <span>Systematic Review regarding Toradol and Migraine headache<span> i<span>n Jan, and the conclusion is: <!--more--><span><br \/>\n<\/span><\/span><\/span><\/span><\/span><\/span><\/span><span><span><span><span><span><span>&#8220;Ketorolac should not be the first agent for treating migraine but is more e<\/span><\/span><span><span>ffective than sumatriptan; but\u00a0 it may not be as effective as metoclopramide\/phenothiazine agents.&#8221;<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p>If you are interested to read more, &#8220;H<span>e<\/span>adache&#8221; in March 2012 had another study regarding Migraine &#8220;<span>Rescue therapy for acute migraine, part 3: opioids, NSAIDs, steroids, and post-discharge medications.<\/span>&#8221;<br \/>\n<span><span><span><span><span>One of the<span>ir conclusions was &#8220;<\/span><\/span>Metoclopramide was equivalent to prochlorperazine, and, when combined with diphenhydramine, was superior in efficacy to triptans and NSAIDs.&#8221; we had a study in Annals of Emergency Medicine\u00a0 <span>for combination o<span>f <\/span><\/span><\/span><\/span><\/span><\/span><span><span><span><span><span><span>Metoclopramide and Diphenhydramine. <\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/head.12009\/abstract\">Link to Headache<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There are different approaches to Migraine HA, Narcotics, Triptans, NSAIDS, Steroids, &#8230; but my approach is combination of Metoclopramide and Diphenhydramine. Headache &#8220;The Journal of Head and Face Pain&#8221; Published a Systematic Review regarding Toradol and Migraine headache in Jan, and the conclusion is:<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,13,14,15,16],"tags":[],"class_list":["post-401","post","type-post","status-publish","format-standard","hentry","category-neurology","category-pgy1","category-pgy2","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=401"}],"version-history":[{"count":3,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/401\/revisions"}],"predecessor-version":[{"id":403,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/401\/revisions\/403"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}