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International Headache Society Global Practice Recommendations for the Acute Pharmacological Treatment of Migraine Publisher Pubmed



Puledda F1 ; Sacco S2 ; Diener HC3 ; Ashina M4, 5 ; Alkhazali HM4 ; Ashina S5, 6 ; Burstein R7 ; Liebler E8 ; Cipriani A9, 10, 11 ; Chu MK12 ; Cocores A13 ; Doddglover F14 ; Ekizoglu E15 ; Garciaazorin D16 Show All Authors
Authors
  1. Puledda F1
  2. Sacco S2
  3. Diener HC3
  4. Ashina M4, 5
  5. Alkhazali HM4
  6. Ashina S5, 6
  7. Burstein R7
  8. Liebler E8
  9. Cipriani A9, 10, 11
  10. Chu MK12
  11. Cocores A13
  12. Doddglover F14
  13. Ekizoglu E15
  14. Garciaazorin D16
  15. Gobel C17, 18
  16. Goicochea MT19
  17. Hassan A20
  18. Hirata K21
  19. Hoffmann J1
  20. Jenkins B22
  21. Kamm K23
  22. Lee MJ24
  23. Ling YH25, 27
  24. Lisicki M27
  25. Martinelli D28
  26. Monteith TS13
  27. Ornello R2
  28. Ozge A29
  29. Peres M30
  30. Pozorosich P31
  31. Romanenko V32
  32. Schwedt TJ33
  33. Souza MNP34
  34. Takizawa T35
  35. Terwindt GM36
  36. Thuraiaiyah J4
  37. Togha M37, 38
  38. Vandenbussche N39, 40
  39. Wang SJ25, 26, 41
  40. Yu S42
  41. Tassorelli C28, 43
Show Affiliations
Authors Affiliations
  1. 1. Wolfson Sensory, Pain and Regeneration Centre, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom
  2. 2. Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
  3. 3. Department of Neuroepidemiology, Institute for Medical Informatics, Biometry and Epidemiology, Faculty of Medicine, University Duisburg-Essen, Essen, Germany
  4. 4. Department of Neurology, Danish Headache Center, Copenhagen University Hospital – Rigshospitalet, Copenhagen, Denmark
  5. 5. Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
  6. 6. Department of Neurology and Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, United States
  7. 7. Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, United States
  8. 8. International Headache Society, London, United Kingdom
  9. 9. Department of Psychiatry, University of Oxford, Oxford, United Kingdom
  10. 10. Oxford Precision Psychiatry Lab, NIHR Oxford Health Biomedical Research Centre, Oxford, United Kingdom
  11. 11. Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, United Kingdom
  12. 12. Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea
  13. 13. Department of Neurology - Headache Division, University of Miami, Miller School of Medicine, Miami, United States
  14. 14. Department of Medicine and Therapeutics, Korle Bu Teaching Hospital, Accra, Ghana
  15. 15. Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
  16. 16. Headache Unit, Department of Neurology, Hospital Clinico Universitario de Valladolid, Valladolid, Spain
  17. 17. Kiel Migraine and Headache Centre, Kiel, Germany
  18. 18. Department of Neurology, Christian-Albrechts University, Kiel, Germany
  19. 19. Neurology Department, Headache Clinic, Fleni, Buenos Aires, Argentina
  20. 20. Department of Neurology, Kasr Alainy, Faculty of Medicine, Cairo University, Cairo, Egypt
  21. 21. Dokkyo Medical University, Tochigi, Mibu, Japan
  22. 22. Royal North Shore Hospital, St Leonards, Sydney, Australia
  23. 23. Department of Neurology, Klinikum der Universitat Munchen, Munich, Germany
  24. 24. Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
  25. 25. Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
  26. 26. College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
  27. 27. Instituto de Investigacion Medica Mercedes y Martin Ferreyra (INIMEC), Consejo Nacional de Investigaciones Cientificas y Tecnicas (CONICET), Universidad Nacional de Cordoba, Cordoba, Argentina
  28. 28. IRCCS Mondino Foundation, Headache Science Center, Pavia, Italy
  29. 29. Mersin University School of Medicine, Mersin, Turkey
  30. 30. Institute of Psychiatry, HCFMUSP, Sao Paulo, Brazil
  31. 31. Headache Unit, Neurology Department, Hospital Universitari Vall d’Hebron and Headache & Neurological Pain Research Group, Vall d’Hebron Institute of Research, Barcelona, Spain
  32. 32. Vita Medical Center, Kyiv, Ukraine
  33. 33. Department of Neurology, Mayo Clinic, Phoenix, AZ, United States
  34. 34. Hospital das Clinicas da Universidade de Sao Paulo, Sao Paulo, Brazil
  35. 35. Department of Neurology, Keio University School of Medicine, Tokyo, Japan
  36. 36. Department of Neurology, Leiden University Medical Center, Leiden, Netherlands
  37. 37. Neurology ward, Sina Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  38. 38. Headache department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  39. 39. Department of Neurology, Ghent University Hospital, Ghent, Belgium
  40. 40. Department of Neurology, AZ Sint-Jan Brugge, Bruges, Belgium
  41. 41. Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan
  42. 42. Department of Neurology, Chinese PLA General Hospital, Beijing, China
  43. 43. Department of Brain and Behavioral Science, University of Pavia, Pavia, Italy

Source: Cephalalgia Published:2024


Abstract

Background: In an effort to improve migraine management around the world, the International Headache Society (IHS) has here developed a list of practical recommendations for the acute pharmacological treatment of migraine. The recommendations are categorized into optimal and essential, in order to provide treatment options for all possible settings, including those with limited access to migraine medications. Methods: An IHS steering committee developed a list of clinical questions based on practical issues in the management of migraine. A selected group of international senior and junior headache experts developed the recommendations, following expert consensus and the review of available national and international headache guidelines and guidance documents. Following the initial search, a bibliography of twenty-one national and international guidelines was created and reviewed by the working group. Results: A total of seventeen questions addressing different aspects of acute migraine treatment have been outlined. For each of them we provide an optimal recommendation, to be used whenever possible, and an essential recommendation to be used when the optimal level cannot be attained. Conclusion: Adoption of these international recommendations will improve the quality of acute migraine treatment around the world, even where pharmacological options remain limited. © International Headache Society 2024.
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