Migraine treatment in pregnancy

Evidence-based neurology checklist on migraine treatment in pregnancy: Antiemetics Metoclopramide is probably safe Domperidone is probably safe Ondansteron and Droperidol should be used with caution Prochlorperazine is contraindicated Triptans Aspirin Other analgesics Betablockers Other…

Antiemetics

  • Metoclopramide is probably safe
  • Domperidone is probably safe
  • Ondansteron and Droperidol should be used with caution
  • Prochlorperazine is contraindicated

Triptans

Aspirin

Other analgesics

Betablockers

Other prophylactic drugs

Contraindicated drugs

Relatively contraindicated steroids

References

  1. MacGregor EA. Migraine in pregnancy and lactation: a clinical review. J Fam Plann Reprod Health Care 2007; 33:83-93.
  2. Evers S, Afra J, Frese A, et al. EFNS guideline on the drug treatment of migraine-revised report of an EFNS task force. Eur J Neurol 2009; 16:968-981.
  3. MacGregor EA. Menstrual migraine: therapeutic approaches. Ther Adv Neurol Disord 2009; 2:327-336.
  4. Sawle GV, Ramsay MM. The neurology of pregnancy. JNNP 1998; 64:711-725.
  5. Negro A, Delaruelle Z, Ivanova TA, et al; European Headache Federation School of Advanced Studies (EHF-SAS). Headache and pregnancy: a systematic review. J Headache Pain 2017; 18:106.
  6. And 6 more. Subscribe to see the full list

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