Question

A 31-year-old woman with recurrent disabling migraine without aura presents to the emergency department with a severe attack unresponsive to oral acetaminophen. She is not pregnant. What is the most appropriate acute treatment?

Accepted Answer

Intravenous metoclopramide plus intravenous ketorolac

Answer

Intravenous morphine

Answer

Oral triptan only

Answer

High-dose codeine and discharge

Answer

No treatment beyond reassurance

Practice question

A 31-year-old woman with recurrent disabling migraine without aura presents to the emergency department with a severe attack unresponsive to oral acetaminophen. She is not pregnant. What is the most appropriate acute treatment?