title: [Update on Current Care Guideline: Migraine].
abstract: Mild migraine attack can be treated with acetaminophen or NSAIDs either alone or combined with metoclopramide. In severe and devastating attacks triptans should be taken immediately, and not afterwards, when first line NSAIDs have proven ineffektive. No significant differences between triptans can be shown in clinical practice, when recommended doses are used. Opioid analgesics should not be used in the treatment of migraine. The recommended drugs for migraine attacks in children are acetaminophen or ibuprophen. Also intranasal sumatriptan can be used. The first line drugs for prophylactic treatment of migraine are non-ISA betablockers or candesartan and amitriptyline.
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000639:Amitriptyline / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000701:Analgesics, Opioid; D047228:Angiotensin II Type 1 Receptor Blockers / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001562:Benzimidazoles / Q000627:therapeutic use; D001713:Biphenyl Compounds; D000075202:Contraindications; D065127:Dopamine D2 Receptor Antagonists / Q000627:therapeutic use; D006801:Humans; D008787:Metoclopramide / Q000627:therapeutic use; D008881:Migraine Disorders / Q000188:drug therapy*; D017410:Practice Guidelines as Topic; D018170:Sumatriptan / Q000627:therapeutic use; D013777:Tetrazoles / Q000627:therapeutic use; D014363:Tryptamines / Q000627:therapeutic use; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000319:Adrenergic beta-Antagonists; D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D047228:Angiotensin II Type 1 Receptor Blockers; D000894:Anti-Inflammatory Agents, Non-Steroidal; D001562:Benzimidazoles; D001713:Biphenyl Compounds; D065127:Dopamine D2 Receptor Antagonists; D013777:Tetrazoles; D014363:Tryptamines; D014662:Vasoconstrictor Agents; D000639:Amitriptyline; D000082:Acetaminophen; D018170:Sumatriptan; D008787:Metoclopramide; C081643:candesartan