community
family doctor; however, a small proportion
fails to improve and seeks treatment at emergency
departments (ED). In Australia there is considerable
variation in ED treatment of migraine.A recent study
found that the most commonly used agents in the ED
were metoclopramide (alone or in combination)
43%, phenothiazines 36%, and paracetamol (alone or
in combination) 38%, with aspirin used in 21% of
cases and parenteral opiates in 12% (NCIS, unpublished
data). Parenteral opioids are the most commonly
used agents in US and Canadian ED.1,2
head_1465 1324
communityfamily doctor; however, a small proportionfails to improve and seeks treatment at emergencydepartments (ED). In Australia there is considerablevariation in ED treatment of migraine.A recent studyfound that the most commonly used agents in the EDwere metoclopramide (alone or in combination)43%, phenothiazines 36%, and paracetamol (alone orin combination) 38%, with aspirin used in 21% ofcases and parenteral opiates in 12% (NCIS, unpublisheddata). Parenteral opioids are the most commonlyused agents in US and Canadian ED.1,2head_1465 1324
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