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migraine_mx [2026/07/16 12:59] – [moderate-severe attack:] gary1migraine_mx [2026/10/21 12:02] (current) – [moderate-severe attack:] gary1
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     *has been shown to be more effective in EDs than SC sumatriptan     *has been shown to be more effective in EDs than SC sumatriptan
     *administration options for adults designed to minimise hypotension from iv chlorpromazine:     *administration options for adults designed to minimise hypotension from iv chlorpromazine:
-      *chlorpromazine 25mg in 500 or 1000 ml saline infused stat. Q 8 hr prn, or, +      *chlorpromazine 25mg in 500 or 1000 ml saline infused over 1hr Q 8 hr prn, or, 
-      *chlorpromazine 12.5 mg as “push” dose after 300 ml saline fluid bolus. IV fluids must continue. Can be repeated every 30 minutes to maximum of 37.5 mg (depending on migraine severity) +      *chlorpromazine 12.5 mg as “push” dose after 300 ml saline fluid bolus. IV fluids must continue. Can be repeated every 30 minutes to maximum of 37.5 mg (depending on migraine severity) but most patients respond to 12.5-25mg 
-  ***IM [[prochlorperazine]]**+  ***IM [[prochlorperazine]]** 12.5mg dose
   ***titrated iv doses of [[propofol]]**   ***titrated iv doses of [[propofol]]**
     *must be given in a resus. room by senior ED doctors     *must be given in a resus. room by senior ED doctors
migraine_mx.txt · Last modified: 2026/10/21 12:02 by gary1

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