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ER Migraine Treatment

Migraines are an intense headache that lasts for several hours or a number of days. Migraine pain is so intense that most patients need to lay down in complete dark until symptoms get better. Researchers are still learning more about the causes of migraines; however, hormones, stress and sensory stimuli may play a role, according to the Mayo Clinic. When pain is so intense it causes nausea and vomiting, people may visit the emergency room (ER) for assistance. When visiting the ER, medical providers focus on getting pain under control with pain medications, according to the National Migraine Association.

  1. Anti-Nausea Medications

    • According to the Mayo Clinic, migraine suffers experiencing intense nausea may be given a prescription medication such as metoclopramide, which is taken orally. Prochlorperaine is another anti-nausea medication, but is available in suppository form.

    Ergot Medications

    • For patients who have experienced migraines for 48 hours or more, erogot medications such as Migergot or Cafergot may be given. This medication should provide pain relief and has fewer side effects then other medications, according to the Mayo Clinic.

    Butalbital Medications

    • Butalbital medications combine the sedative butalbital with a pain reliever such as aspirin or acetaminophen. Some medications combine a sedative with codeine, such as Esgic-Plus. However, the drawback to these medications is the chances of a rebound headache. For this reason, ER doctors may use this medication when the patient doesn't respond to other medications.

    Opiate Medications

    • While in the emergency room, the patient may be given an opiate medication if nonsteroidal anti-inflammatory medications (Advil or Motrin) aren't working. Since opiate medications are considered a narcotic---they are habit forming, and an ER will only provide these medications when necessary.

    Follow-Up Care

    • After receiving ER treatment, it's important for the patient to follow up with their primary care doctor. According to the Mayo Clinic, almost half of migraine patients can benefit from preventative treatment, but only 1 out of every 10 people take it. Preventive treatments may include anti-seizure drugs, such as depakote, or beta blockers, such as Calan or Isoptin.

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