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International Headache Society global practice recommendations for the acute pharmacological treatment of migraine.

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Author information

Affiliations

  • 1. Wolfson Sensory, Pain and Regeneration Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
      Authors
    • Puledda F 1
    • Hoffmann J 1
    (2 authors)
  • 2. Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
      Authors
    • Sacco S 2
    • Ornello R 2
    (2 authors)
  • 3. Department of Neuroepidemiology, Institute for Medical Informatics, Biometry and Epidemiology, Faculty of Medicine, University Duisburg-Essen, Essen, Germany.
      Authors
    • Diener HC 3
    (1 author)
  • 4. Department of Neurology, Danish Headache Center, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
      Authors
    • Ashina M 4, 5
    • Al-Khazali HM 4
    • Thuraiaiyah J 4
    (3 authors)
  • 5. Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
      Authors
    • Ashina M 4, 5
    • Ashina S 5
    (2 authors)
    • Show all (34)

ORCIDs linked to this article

Show all (22)

Cephalalgia : an International Journal of Headache, 01 Aug 2024, 44(8):3331024241252666
https://doi.org/10.1177/03331024241252666 PMID: 39133176 

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.

Full text links 

Read article at publisher's site: https://doi.org/10.1177/03331024241252666

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