Table 2.
Initial Treatment with Parenteral Medication by Headache Diagnosis – alone or in initial combination
| Initial Medication Given: | All Primary Headache (N = 574) n (% of total) |
Headache NOS (N = 420) n (% of total) |
Migraine (N = 138) n (% of total) |
|---|---|---|---|
| Opiates: | 131 (22.8) | 108 (25.7) | 19 (13.8) |
| •Morphine | 73 (12.7) | 63 (15.0) | 8 (5.8) |
| •Dilaudid | 57 (9.9) | 44 (10.5) | 11 (8.0) |
| •Fentanyl | 1 (0.2) | 1 (0.2) | 0 (0) |
| Non-Opiate First-Line Recommended:1 | 303 (52.6) | 216 (51.4) | 79 (57.2) |
| •Metochlopramide | 142 (24.7) | 107 (25.5) | 32 (23.2) |
| •NSAIDs (Keterolac) | 97 (16.9) | 60 (14.3) | 35 (25.4) |
| •Proochloperazine | 69 (12.0) | 52 (12.4) | 15 (10.9) |
| •Triptans or DHE | 11 (1.9) | 4 (1.0) | 6 (4.4) |
| •Acetaminophen | 1 (0.2) | 1 (0.2) | 0 (0) |
| Other Non-Opiate Medications:2 | 140 (24.4) | 99 (23.6) | 40 (29.0) |
1
Does not include Opiate combinations. There was no use of Chlorpromazine or IV Aspirin in our cohort.
2
Does not include Opiate combinations. Other medications given without concurrent parenteral headache medications included (in frequency order): Other Anti-emetics (Ondansetron and Promethazine), Benzodiazepines, and Antihistamines.