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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

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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