Compazine (prochlorperazine) 10mg IV
Toradol (ketorolac) 30mg IV or IM
-No more effective than PO NSAIDs and much more expensive
-Be sure pt does not have a SAH before using this
Reglan (metoclopramide) 10mg IV
Phenergan (promethazine) 12.5-25mg IV/IM
Imitrex (Sumatriptan) 6mg SC, may repeat 6mg SC in 1h if not effective
-Expensive but quick and easy to give as no IV access needed
-CI’d in CAD/uncontrolled HTN/pregnancy (use cautiously if age>50)
Decadron 10mg IV (dose debatable in literature) for refractory migraines
**Some practitioners give Benadryl 25-50mg IV with Compazine/Reglan/Phenergan
-Prophylaxis against side effects of medications
-Also makes pt sleep which often helps resolve the headache