Are you exposed to any odors such as perfume, chemicals, or smoke when the headaches occur?When the headaches occur, have you eaten a meal or snack recently, or have you missed a meal? Diagnosis and treatment of migraine. Ann Emerg Med 2000;36:89-94. Compazine may also interact with atropine, lithium, diuretics (water pills), birth control pills or hormone replacement estrogens, blood pressure medications, blood thinners, asthma medications, drugs to treat prostate disorders, Do not stop using Compazine suddenly after long-term use, or you could have unpleasant Phenergan may interact with cold or allergy medicine, sedatives, narcotics, sleeping pills, muscle relaxers, Dosage of Compazine i adjusted to the response of the individual. Complementary and alternative therapies can also be used to abort the headache or enhance the efficacy of another therapeutic modality. Therefore, most studies (and actual practice) include approximately 25 mg of diphenhydramine, which helps limit the adverse reactions of the phenothiazines. Berger ML. Compazine rated 2.3/10 vs Phenergan rated 7.7/10 in overall patient satisfaction. McCrory DC,

Hit the bed and slept like a rock for four hours, felt sleepy the rest of the evening. Appropriate migraine therapy should allow for consideration of the above factors.The U.S. Headache Consortium identified the goals of long-term migraine treatment and successful management of acute migraine Treat migraine attacks rapidly and consistently without recurrenceMinimize the use of back-up and rescue medications*Educate and enable patients to manage their diseaseTreat migraine attacks rapidly and consistently without recurrenceMinimize the use of back-up and rescue medications*Educate and enable patients to manage their diseaseFor mild to moderate migraine attacks or severe attacks that have been responsive in the past to similar agents, use the following options:For moderate to severe migraine or mild to moderate migraines that respond poorly to NSAIDs, use:Migraine-specific drugs (i.e., triptans [naratriptan, rizatriptan, sumatriptan, zolmitriptan], DHE)Combination drug therapy (e.g., aspirin plus acetaminophen* plus caffeine)For migraine accompanied by nausea or vomiting, use a non-oral route of administration.For severe migraine that does not respond to other treatments, use a self-administered rescue medication.Limit and carefully monitor the use of opiates and butalbital-containing analgesics.For mild to moderate migraine attacks or severe attacks that have been responsive in the past to similar agents, use the following options:For moderate to severe migraine or mild to moderate migraines that respond poorly to NSAIDs, use:Migraine-specific drugs (i.e., triptans [naratriptan, rizatriptan, sumatriptan, zolmitriptan], DHE)Combination drug therapy (e.g., aspirin plus acetaminophen* plus caffeine)For migraine accompanied by nausea or vomiting, use a non-oral route of administration.For severe migraine that does not respond to other treatments, use a self-administered rescue medication.Limit and carefully monitor the use of opiates and butalbital-containing analgesics.If identified early, a migraine may be aborted with pharmacologic treatment using either nonspecific or migraine-specific medications.

Drug treatment of migraine: part I.

Prochlorperazine is recommended for m… The conservative approach would be to consider neuroimaging in these patients.In patients with a normal neurologic examination, neuroimaging is usually not warranted. Schroll M, There may be variations in CSA schedules between individual states.Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Sawyer JP. Nobody knows exactly how the help in migraines, but it is assumed that the antiserotonin, antidopaminergic, and alpha antagonist effects are the most likely contributors.

Dihydroergotamine (DHE), a semisynthetic ergot alkaloid and nonselective 5-HTA widely prescribed and effective class of medications for migraines is the 5-HT1 to 2 mg orally every hour, maximum of three doses in 24 hoursIncreased incidence of migraines, daily headaches, ergot poisoning, tachycardia, bradycardia, arterial spasm, localized edema, numbness and tingling in extremities, nausea, vomiting, diarrhea, xerostomiaTwo tablets (100 mg caffeine/1 mg ergotamine) at onset, then one tablet every 30 minutes, up to six tablets per attack, 10 per weekSevere reactions: myocardial infarction, myocardial or pleuropulmonary fibrosis, vasospastic ischemiaTriptans, beta blockers, antihypertensives, methysergide (Sansert), SSRIs, dopamine (Intropin), macrolides, nitrates, angina, CAD, clarithromycin (Biaxin), hypertension, myocardial infarction, peripheral vascular disease, pregnancy, renal impairment, sepsis, breastfeeding, ergot alkaloid sensitivityErgot toxicity, coronary vasospasm, cardiac events including angina, myocardial infarction, ventricular tachycardia or fibrillation, hypertension, adverse cerebrovascular events, localized edema, pruritus, sinus tachycardia or bradycardia, weakness in legs, nausea, vomiting, diarrhea, drowsiness, xerostomia, local injection reaction, numbness6 mg SC, repeated in one hour; maximal dosage, 12 mg per 24 hoursErgotamine, MAOIs, use within 24 hours of another triptan, hemiplegic or basilar migraine, pregnancy, impaired hepatic function, as prophylactic therapy, CADNausea, warmth, vomiting, vertigo, malaise, headache, injection site reactions, chest pressure and heaviness1.0 to 2.5 mg orally every four hours to maximal dosage of 5 mg per dayErgot-type medications, SSRIs, oral contraceptives, smoking, CADDizziness, drowsiness, nausea, vomiting, fatigue, paresthesias5 to 20 mg orally every two hours to maximal dosage of 30 mg per dayErgot-type medications, SSRIs, other triptans, MAOIs, propranolol (Inderal), cimetidine (Tagamet), CADTachycardia, bradycardia, throat tightness, closure2.5 to 5.0 mg orally every two hours to maximal dosage of 10 mg per 24 hoursErgot-type medications, SSRIs, other triptans, MAOIs, CAD1 to 2 mg orally every hour, maximum of three doses in 24 hoursIncreased incidence of migraines, daily headaches, ergot poisoning, tachycardia, bradycardia, arterial spasm, localized edema, numbness and tingling in extremities, nausea, vomiting, diarrhea, xerostomiaTwo tablets (100 mg caffeine/1 mg ergotamine) at onset, then one tablet every 30 minutes, up to six tablets per attack, 10 per weekSevere reactions: myocardial infarction, myocardial or pleuropulmonary fibrosis, vasospastic ischemiaTriptans, beta blockers, antihypertensives, methysergide (Sansert), SSRIs, dopamine (Intropin), macrolides, nitrates, angina, CAD, clarithromycin (Biaxin), hypertension, myocardial infarction, peripheral vascular disease, pregnancy, renal impairment, sepsis, breastfeeding, ergot alkaloid sensitivityErgot toxicity, coronary vasospasm, cardiac events including angina, myocardial infarction, ventricular tachycardia or fibrillation, hypertension, adverse cerebrovascular events, localized edema, pruritus, sinus tachycardia or bradycardia, weakness in legs, nausea, vomiting, diarrhea, drowsiness, xerostomia, local injection reaction, numbness6 mg SC, repeated in one hour; maximal dosage, 12 mg per 24 hoursErgotamine, MAOIs, use within 24 hours of another triptan, hemiplegic or basilar migraine, pregnancy, impaired hepatic function, as prophylactic therapy, CADNausea, warmth, vomiting, vertigo, malaise, headache, injection site reactions, chest pressure and heaviness1.0 to 2.5 mg orally every four hours to maximal dosage of 5 mg per dayErgot-type medications, SSRIs, oral contraceptives, smoking, CADDizziness, drowsiness, nausea, vomiting, fatigue, paresthesias5 to 20 mg orally every two hours to maximal dosage of 30 mg per dayErgot-type medications, SSRIs, other triptans, MAOIs, propranolol (Inderal), cimetidine (Tagamet), CADTachycardia, bradycardia, throat tightness, closure2.5 to 5.0 mg orally every two hours to maximal dosage of 10 mg per 24 hoursErgot-type medications, SSRIs, other triptans, MAOIs, CADSubcutaneously injectable sumatriptan (Imitrex) reaches peak blood concentrations faster than any other migraine-specific medications (in approximately 15 minutes) and has been shown to be effective in 70 to 82 percent of patients.

Some medical conditions (stroke, myocardial infarction, epilepsy, affective and anxiety disorders, and some connective tissue disorders) are more common in people with migraine. At first I thought it was the chemotherapy I was on that was causing all these things but I finally figured out it was the Compazine. Acute therapy and drug-rebound headache. Coppola M, However, if the headache has atypical features or does not meet the strict definition of migraine, a lower threshold may apply.In patients with nonacute headache and unexplained findings on neurologic examination, neuroimaging should be considered.In patients with neurologic symptoms (headache that is worsened with use of Valsalva's maneuver, awakens the patient from sleep, is newly onset in an older person, or is progressively worsening), the evidence is insufficient to make specific recommendations. Retrieved April 2002, from: Silberstein SD. Dr. Miser received his medical degree from Ohio State University College of Medicine and completed a residency in family medicine in Augusta, Ga.Members of various medical faculties develop articles for “Practical Therapeutics.” This article is one in a series coordinated by the Department of Family Medicine at Ohio State University College of Medicine and Public Health, Columbus. Do you take any natural remedies or herbs?Where are you when the headaches occur?