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- Sep 8, 2008
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Nothing fancy. 75% of these are said to go away with no treatment in the first week (Of my patients who refuse blood patch I believe it is closer to 90%)
Fluids, caffeine (oral), bedrest and naproxen.
Re-evaluate at 24 hours and add Maxalt if patient is still symptomatic and reluctant to undergo blood patch. The neurologists do not monitor low-risk patients for the intial triptan dose so neither do I.
I will be switching to Mirtazapine instead of Maxalt in the near future and may use it first line.
- pod
Fluids, caffeine (oral), bedrest and naproxen.
Re-evaluate at 24 hours and add Maxalt if patient is still symptomatic and reluctant to undergo blood patch. The neurologists do not monitor low-risk patients for the intial triptan dose so neither do I.
I will be switching to Mirtazapine instead of Maxalt in the near future and may use it first line.
- pod