Migraine Acute Tx - Drug Table

Migraine – Acute Therapy – Drug Table

Category

Drug Name

Common Dosing

Maximum Daily Dose

Cost*

Patient Education

(Comments & Warnings)

Non-NSAIDs

Acetaminophen

(extra strength)

1,000mg 3-4x/day

3,000-4,000mg/day

$3.21

· Be aware that many OTC products contain APAP which count toward daily total

· Caution in patients with renal impairment and at risk for GI bleed

Ginger powder

250mg

NA

NA

· Purchase products with USP on bottle if able

· Variability in dosing

NSAIDs

Excedrin Migraine

APAP/ASA/Caffeine

250mg/250mg/65mg

2 tabs

8 tablets/24 hours

$7.38

· Inform patient it contains ASA

· Administer with food

Ibuprofen

200-400mg

2,400mg/day

$11.47

· Administer with food or milk

· Caution in patients with renal impairment and at risk for GI bleed

Aspirin

1,000mg

4,000mg/day

$12.84

· Administer with food or full glass of water

· Caution in patients with renal impairment and at risk for GI bleed

Diclofenac Potassium

50mg

200mg for 1st 24 hours, 150mg thereafter

$55.81

· Administer with food or milk

· Do not crush ER formulation

· Caution in patients with renal impairment and at risk for GI bleed

Ketorolac

(Toradol)

≥50kg

IM: 60mg single dose or 30mg every 6 hours

 

≤50kg or ≥65 years of age

IM: 30mg single dose or 15mg every 6 hours

120mg/day

 

60mg/day

$40.11

· Max combined duration of treatment is 5 days

· Take oral formulation with food to avoid GI upset

· Caution in patients with renal impairment, CAD, and those at risk for GI bleed

Triptans

Sumatriptan

(Imitrex)

Oral

25-100mg dose; may repeat in 2 hours

Intranasal

5-20mg; may repeat in 2 hours

SubQ

6mg; may repeat in 1 hour

Oral 200mg/day

 

Intranasal 40mg/day

 

SubQ 6mg/dose 12mg/day

$155.05

 

Rizatriptan

(Maxalt)

10mg; may repeat after 2 hours

If using propranolol then 5mg/dose

30mg/day

15mg/day

$178.32

· Can give with or without food

· ODT should be placed on tongue and allowed to dissolve

Eletriptan

(Relpax)

20-40mg

May repeat after 2 hours

40mg/dose & 80mg/day

$286.22

· May take with food

Zolmitriptan

(Zomig)

Nasal 2.5mg

 

Oral 1.25-2.5mg

 

ODT 2.5mg

10mg/day

Nasal 5mg/dose

 

Oral 5mg/dose

 

ODT 5mg/dose

$290.10

· Proper administration with nasal formulation

· Can break in half to achieve smaller dose

· ODT must be taken whole; place on tongue and allow to dissolve

IV Therapies

Prochlorperazine

(Compazine)

IM/IV 10mg

 

Rectal 25mg

IM/IV 10mg

 

Rectal 25mg

$26.62

· May be given with 25mg IV Benadryl piggyback

· Avoid use in elderly

· Monitor for extrapyramidal symptoms

Chlorpromazine

(Thorazine)

12.5mg slow IV infusion

25mg

$143.13

· Avoid use in elderly

· Monitor for extrapyramidal symptoms

Metoclopramide

(Reglan)

10mg IV push or

 slow IV infusion

 

$10.18

· Monitor for extrapyramidal symptoms

Dihidroergotamine

Nasal

1 spray in each nostril; repeat q15min

 

IV

0.5-1mg q8h, or continuous infusion 3mg/24h

 

SQ

1mg q1h

Nasal 4 sprays

 

IV 3mg

 

SQ 3mg

Nasal

$3,210.46

 

Vial

$1,600.40

· Typically used under direction of neurologist

Dexamethasone

10-25mg x1

NA

$19.95

· Used as adjunct to prevent short-term migraine recurrence

· Do not give with 3A4 inhibitors and macrolides

*Cost estimates are the average cost reported on GoodRx.com as of April 2021

 


Pathway does not replace clinical judgment and should be modified as needed for individual patients. Page last revised 12/2/2015 .
Please send comments to: daym@health.missouri.edu

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Published by the Department of Family & Community Medicine, Columbia, MO 65211