Almost 90% of patients with migraine who visit the emergency department with an intractable headache have a recurrence within 24 hours.

When a migraine is into its second day despite treatment with a triptan (Imitrex and others), a rescue medication is needed and if successful would prevent an emergency department visit. Most studies show that steroid medications can help. One protocol is to use a Medrol Dosepak for the first 2 days in the pack and then stop after that if improved. The second is to use an oral dose of dexamethasone 4 mg 3 times a day for the first day, then 2 times for the second, then once for the third and then stop.

If you are experiencing any of these symptoms please contact us at 714-738-0800 or visit our website to set up an appointment.

Dr. Jack Florin
Neurologist
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