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A 74-year-old female asked:

30yr old female, 10 weeks pregnant in status migrainosus; would you try steroid, triptans, or both?

1 doctor answer1 doctor weighed in
Dr. Dariush Saghafi
Neurology 33 years experience
Should be treated: Status migrainosus and pregnancy is an awful mix but it does occur & often in the 1st trimester. It must treated aggressively to prevent complications for both mother and baby, however, triptans & ergots should be AVOIDED. Agressive IV hydration & corticosteroids +/- other agents such as narcotics, Tylenol (acetaminophen) +/- codeine. Other drugs such as nonsteroidals should be used cautiously.

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Last updated Sep 28, 2016

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