Intravenous metoclopramide in the treatment of acute migraines: A randomized, placebo-controlled trial
Autor: | Esra Koçkan, Ugur Durmus, Nazire Avcu, Elif Yaka, Adnan Karadaş, Murat Pekdemir, Serkan Yılmaz, Nurettin Özgür Doğan |
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Přispěvatelé: | Maltepe Üniversitesi |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male Metoclopramide medicine.medical_treatment Migraine Disorders Placebo-controlled study emergency department (MeSH Database) Placebo 03 medical and health sciences 0302 clinical medicine Double-Blind Method Interquartile range Medicine Humans migraine 030212 general & internal medicine Adverse effect Saline business.industry General Medicine Emergency department humanities Confidence interval Dopamine D2 Receptor Antagonists Treatment Outcome Neurology Anesthesia Administration Intravenous Female Neurology (clinical) business headache metoclopramide 030217 neurology & neurosurgery medicine.drug |
Popis: | WOS: 000460960400002 PubMed ID: 30629285 Objectives The present study aimed to evaluate the efficacy and safety of intravenous metoclopramide for acute migraine treatment. Materials and methods A double-blind, randomized, parallel-group, placebo-controlled trial was carried out in an academic emergency department. After the patients were assessed for eligibility via the International Headache Society criteria for migraines, they were randomized into 10 mg intravenous metoclopramide and normal saline groups. The headache intensity was evaluated using an 11-point numeric rating scale (NRS) score. The primary outcome measure was determined as the median between-group change in the score at the 30th minute. The secondary outcome measures were rescue medication needs, adverse events, and emergency department (ED) revisits after discharge. Results A total of 148 patients were randomized into two equal groups with similar baseline characteristics, including the baseline NRS scores (8 points). The median reduction in the NRS scores at the 30th minute was 4 [interquartile range (IQR): 2-6)] in the metoclopramide group and 3 (IQR: 1-4) in the normal saline group [median difference: -1.0, 95% confidence interval (CI): -2.1 to 0.1]. No serious adverse events were observed, and the rescue medication needs were similar in both groups. Conclusion No difference was found between intravenous metoclopramide and placebo regarding efficacy and safety in patients with acute migraines. |
Databáze: | OpenAIRE |
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