Table 4.

Characteristics and Treatment of Migraine/Headaches at Urgent Care Visit

Patients experiencing pain at visit	N = 73
Onset of current migraine/headache episode
Within 24 hours of the visit	24/73 (32.9%)
Within 24-72 hours of the visit	17/73 (23.3%)
Over 72+ hours	31/73 (42.5%)
Not specified	1/73 (1.4%)
Other accompanies of headache:
Nausea	18/73 (24.7%)
Vomiting	5/73 (6.8%)
Both Nausea and vomiting	16/73 (21.9%)
Medications taken before visit:	47/73 (64.4%)
Acetaminophen	7/73 (9.6%)
NSAIDs	24/73 (32.9%)
Excedrin	12/73 (16.4%)
Any triptan	10/73 (13.7%)
Fioricet	1/73 (1.4%)
Topiramate	2/73 (2.7%)
Reglan	1/73 (1.4%)
Other*	10/73 (13.7%)
Medications administered at visit:	34/73 (46.6%)
Ibuprofen oral	5/73 (6.8%)
Ketorolac (Toradol) IM / IV	24/73 (32.9%)
IV fluids (0.9% Sodium Chloride)	6/73 (8.2%)
Metoclopramide (Reglan) oral	2/73 (2.7%)
Metoclopramide (Reglan) IV	9/73 (12.3%)
Ondansetron (Zofran) IV	2/73 (2.7%)
Ondansetron (Zofran) oral	10/73 (13.7%)
Benadryl IV	1/73 (1.4%)
Prescriptions given at visit:	61/78 (78.2%)
NSAIDs (Ibuprofen, Ketorolac)	26/78 (33.3%)
Acetaminophen	4/78 (5.1%)
Metoclopramide (Reglan)	11/78 (14.1%)
Any triptan	20/78 (25.6%)
Topiramate	1/78 (1.3%)
Steroids (Methylpredniosolone, dexamethasone, prednisone)	3/78 (3.8%)
Butalbital containing meds (Fioricet, Fiorinal)	12/78 (15.4%)
Ondansetron (Zofran)	9/78 (11.5%)
Opioids	4/78 (5.1%)
Gabapentin	1/78 (1.3%)
Lorazepam (Ativan)	2/78 (2.6%)
Antihistamines	3/78 (3.8%)
Excedrin	2/78 (2.6%)
Propranolol	1/78 (1.3%)
Flonase	1/78 (1.3%)
Valcyclovir	1/78 (1.3%)
Referrals made at visit:	63/78 (80.3%)
Neurology	47/78 (60.3%)
New neurologist	35/47 (74.5%)
PCP	20/78 (25.6%)
Ophthalmology	3/78 (3.8%)
Emergency Department	17/78 (21.8%)
Urgent Care	4/78 (5.1%)
Headache center	1/78 (1.3%)
Concussion center	1/78 (1.3%)

^*Other medications taken before visit included OTC medications (Sudafed, Anti-histamines) and homeopathic medications