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Singh RBH, VanderPluym JH, Morrow AS, et al. Acute Treatments for Episodic Migraine [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Dec. (Comparative Effectiveness Review, No. 239.)

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Acute Treatments for Episodic Migraine [Internet].

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Appendix DCharacteristics of Included Studies

Table D-1Characteristics of included studies

Author, YearCountry, Study Design, Study PeriodStudy Setting (Outpatient, Inpatient, ED)Intervention(s) and ComparisonRoute of Administration, Dose and DurationLength of Followup (days)Patient Characteristics
Aggarwal, 20201Crossover RCT in United States of America, 04/2017 to 02/2018OutpatientTimololEye drop, 0.5% solution, once2 hoursEntire population: 26 Patients aged 41±10.5 years, 96% female
Crossover RCT in United States of America, 04/2017 to 02/2018OutpatientPlaceboEye drop, once2 hoursEntire population: 26 Patients aged 41±10.5 years, 96% female
Alemder, 20072Crossover RCT in TurkeyEDTramadolIV, 100 mg in 100 ml saline solution, once for 30 minutes1 day17 Patients aged 42 ± 11.5 years, 76.5% female, 100% White
Crossover RCT in TurkeyEDPlaceboIV, 100 ml saline solution, once for 30 minutes1 day17 Patients aged 37.1 ± 9 years, 88.2% female, 100% White
Amiri, 20173RCT in IranEDGranisetronIV, 2 mg, once4 hoursEntire population: 148 Patients aged 33.5 years, 68.2% female
RCT in IranEDMetoclopramideIV, 10 mg, once4 hoursEntire population: 148 Patients aged 33.5 years, 68.2% female
Aurora, 20114RCT in United States of America, 07/2008 to 03/2009OutpatientDihydroergotamineInhaled (orally), 0.6 mg emitted dose (1 mg nominal dose, or 0.5 mg systemic) once immediately after attack2 days450 Patients aged 40.5 ± 11.3 years, 91.9% female, 8.9% African American, 88.1% White, 1.3% Asian, BMI 28 ± 6.6
RCT in United States of America, 07/2008 to 03/2009OutpatientPlaceboInhaled (orally), once immediately after attack2 days453 Patients aged 39.6 ± 11.7 years, 91.2% female, 11.8% African American, 84.4% White, 3.0% Asian, BMI 27.9 ± 6.4
Aurora, 20095RCT in United States of America, 07/2006 to 02/2007OutpatientPlaceboInhaled (orally), four times after attack28 days18 Patients aged 43.6 ± 9.4 years, 77.8% female, 94.4% White, 5.6% Asian
RCT in United States of America, 07/2006 to 02/2007OutpatientDihydroergotamine mesylate 0.5 mgInhaled (orally), 0.5 mg systemic dose (1 mg nominal dose), twice after attack28 days35 Patients aged 41.3 ± 10.9 years, 85.7% female, 5.7% African American, 88.6% White, 5.7% Asian
RCT in United States of America, 07/2006 to 02/2007OutpatientDihydroergotamine mesylate 1 mgInhaled (orally), 1 mg systemic dose (2mg nominal dose), twice after attack28 days33 Patients aged 40 ± 10.6 years, 81.8% female, 84.8% White, 6.1% Asian
Avcu, 20176RCT in Turkey, 01/2014 to 10/2014EDLidocaine 10%Intranasal, 10%, once or twice after attack3 days81 Patients aged 36 ± 12 years, 69.1% female
RCT in Turkey, 01/2014 to 10/2014EDPlaceboIntranasal, 0.9% saline, once or twice after attack3 days81 Patients aged 35 ± 11 years, 85.2% female
Banerjee, 19917RCT in United KingdomOutpatientPropranololOral, 40 mg, one to three times after attack2 daysEntire population: 25 Patients aged 35 ± 11.75 years, 84% female
RCT in United KingdomOutpatientPlaceboOral, one to three times after attack2 daysEntire population: 25 Patients aged 35 ± 11.75 years, 84% female
Baratloo, 20178Comparative observational study in Iran, 01/2016 to 05/2016EDCaffeine citrateIV, 60 mg in 100ncc 0.9% saline, once for 10 minutes2 hours35 Patients aged 30.2 ± 1.5 years, 82.8% female, BMI 23.3 ± 2.7
Comparative observational study in Iran, 01/2016 to 05/2016EDMagnesium sulfateIV, 2 g in 100 cc 0.9% saline, once for 10 minutes2 hours35 Patients aged 36 ± 2.1 years, 54.2% female, BMI 24.1 ± 3.1
Bell, 19909RCT in CanadaEDChloropromazineIV, 12.5 mg, once to three times after attack1 dayEntire population: 76 Patients, 78.9% female
RCT in CanadaEDDihydroergotamineIV, 1 mg, once or twice after attack1 dayEntire population: 76 Patients, 78.9% female
RCT in CanadaEDLidocaineIV, 50 mg, one to three times after attack1 dayEntire population: 76 Patients, 78.9% female
Bigal, 200210RCT in Brazil, 03/01/1997 to 11/01/1999OutpatientDipyroneIV, 1 g in 10 ml 0.9% saline, once after attack1 day74 Patients aged 33.6 years, 69.1% female
RCT in Brazil, 03/01/1997 to 11/01/1999OutpatientPlaceboIV, 10 ml 0.9% saline, once after attack1 day60 Patients aged 28.8 years, 68.4% female
Bigal, 200211RCT in Brazil, 01/01/1997 to 12/31/1999EDChlorpromazineIV, 0.1 mg/kg in 10 ml 0.9% saline, once after attack1 day68 Patients aged 34.65 years, 74.20% female
RCT in Brazil, 01/01/1997 to 12/31/1999EDPlaceboIV, 10 ml 0.9% saline, once after attack1 day60 Patients aged 27.70 years, 68.85% female
Bigal, 200212RCT in Brazil, 04/01/1997 to 12/31/1999OutpatientMagnesium sulfateIV, 1 g in 10 ml 0.9% saline, once after attack1 day60 Patients aged 29.30 years, 74.80% female
RCT in Brazil, 04/01/1997 to 12/31/1999OutpatientPlaceboIV, 10 ml 0.9% saline, once after attack1 day60 Patients aged 27.60 years, 68.40% female
Bigal, 200113Comparative observational study in BrazilOutpatientDipyroneIV, 1000 mg (2 ml in 8 ml saline), once after attack1 hour149 Patients aged 34.1 years, 70.7% female
Comparative observational study in BrazilOutpatientPlaceboIV, 10 ml saline, once after attack1 day60 Patients aged 30.3 ± 8.3 years, 71.7% female
Blanda, 200114RCT in United States of America, 07/27/1997 to 11/11/1997EDLidocaine 4%Intranasal 0.5ml drops, two or four times for unilateral or bilateral pain, respectively1 day27 Patients, 85.2% female
RCT in United States of America, 07/27/1997 to 11/11/1997EDPlaceboIntranasal, 0.9% saline, 0.5 ml saline drops, two or four times for unilateral or bilateral pain, respectively1 day22 Patients, 86.4% female
Borhani, 201015Crossover RCT in Iran, 03/2007 to 03/2008OutpatientMenthol-PlaceboTopical on forehead and temporal area, 1 ml of 10% solution of menthol crystals in ethanol, immediately after attack (Initial two attack treated with menthol and the second two attack treated with placebo)N/A17 Patients aged 29.8 ± 6.14 years, 76.5% female
Crossover RCT in Iran, 03/2007 to 03/2008OutpatientPlacebo-MentholTopical on forehead and temporal area, 1 ml of 0.5% ethanol menthol solution, immediately after attack (Initial two attack treated with placebo and the second two attack treated with menthol)N/A18 Patients aged 29.5 ± 6.4 years, 83.3% female
Boureau, 199416Crossover RCT in FranceOutpatientAcetaminophen 400 mg plus codeine 25 mgOral, 400 mg acetaminophen and 25 mg codeine once after attack2 hoursEntire population: 494 Patients aged 40.1 ± 11.6 years, 76.90% female
Crossover RCT in FranceOutpatientPlaceboOral, once after attack2 hoursEntire population: 494 Patients aged 40.1 ± 11.6 years, 76.90% female
Brandes, 201917RCT in United States of America, United Kingdom, and Germany, 10/7/2015 to 3/6/2018OutpatientLasmiditan 100 mgOral, 100 mg, once or twice after attack365 days1014 Patients aged 42.7 ± 12.3 years, 85.4% female, 18.8% African American, 77.5% White, 0.7% Asian, BMI 31.2 ± 82
RCT in United States of America, United Kingdom, and Germany, 10/7/2015 to 3/6/2018OutpatientLasmiditan 200 mgOral, 200 mg, once or twice after attack365 days1102 Patients aged 43.8 ± 12.5 years, 85.3% female, 16.6% African American, 79.3% White, 0.6% Asian, BMI 31.0 ± 8.2
Callaham, 198618RCT in United States of America, 06/1982 to 06/1984EDDihydroergotamineIV, 0.75 mg, once after attack2 days19 Patients
RCT in United States of America, 06/1982 to 06/1984EDPlaceboIV, once after attack2 days15 Patients
Cameron, 199519RCT in Canada, 1990 to 1992EDChlorpromazineIV, 0.1 mg/kg, once (up to three times if needed during the first hour)2 days47 Patients aged 32.60 ± 9.5 years, 80.90% female
RCT in Canada, 1990 to 1992EDMetoclopramideIV, 0.1 mg/kg, once (up to three times if needed during the first hour)2 days44 Patients aged 31.60 ± 8.75 years, 79.50% female
Carleton, 199820RCT in the United States of America, 11/1991 to 08/1992EDDihydroergotamine mesylate plus Hydroxyzine hydrochlorideIM, dihydroergotamine mesylate, 1 mg, once (second dose after 1 hour if necessary), Hydroxyzine hydrochloride: Intramuscular, 0.70 mg/kg, once (second dose of 0.35 mg/kg after 1 hour if necessary)1 day after discharge85 Patients aged 32.52 ± 8.82 years, 82.40% female
RCT in the United States of America, 11/1991 to 08/1992EDMeperidine plus Hydroxyzine hydrochlorideIM meperidine, 1.5 mg/kg, once (second dose of 0.75 mg/kg after 1 hour if necessary), Hydroxyzine hydrochloride: Intramuscular, 0.70 mg/kg, once (second dose of 0.35 mg/kg after 1 hour if necessary)1 day after discharge85 Patients aged 32.36 ± 8.78 years, 82.40% female
Cete, 200521RCT in TurkeyEDMetoclopramide plus normal Saline IV, 10 mg in 100 ml normal saline, once for 10 minutes1 day after discharge37 Patients aged 40 ± 13 years, 89% female
RCT in TurkeyEDMagnesium sulfate plus normal saline IV, 2 g in 100 ml normal saline, once for 10 minutes1 day after discharge36 Patients aged 40 ± 12 years, 75% female
RCT in TurkeyEDPlaceboIV, 100 mL Normal saline once for 10 minutes1 day after discharge40 Patients aged 40 ± 11 years, 88% female
Chappell, 199422Crossover RCT in the United States of AmericaEDZatosetron to placeboIV, 13 mg or 0.19 mg/kg, once for 30 minutes1.5 hours9 Patients aged 36.3 ± 2.6 years, 89% female, 78% White, 22% African American
Crossover RCT in the United States of AmericaEDPlacebo to zatosetronIV, 13 mg or 0.19 mg/kg, once for 30 minutes1.5 hours10 Patients aged 42.9 ± 6.1 years, 90% female, 100% White
Chou, 201923RCT in the United States of America, 02/01/2016 to 03/31/2017EDVerum external trigeminal nerve stimulationTranscutaneously, 1.284 C (total maximum dose), high frequency pulse of 100 Hz with pulse width of 250 µs for 1 hour1 day52 Patients aged 39.71 ± 13.62 years, 83% female
RCT in the United States of America, 02/01/2016 to 03/31/2017EDSham external trigeminal nerve stimulationTranscutaneously, low frequency pulse of 3 Hz with pulse width of 250 µs for 1 hour1 day54 Patients aged 40.09 ± 12.65 years, 91% female
Connor, 200924RCT in the United States of America, Europe and Latin America, 03/2007 to 11/2007OutpatientTelcagepant 50 mgOral, 50 mg, once (optional second dose of the initial tratment)7 days244 Patients aged 41.4 ± 11.3 years, 88.1% female, 83.6% White
RCT in the United States of America, Europe and Latin America, 03/2007 to 11/2007OutpatientTelcagepant 150 mgOral, 150 mg, once (optional second dose of the initial treatment or placebo)7 days485 Patients aged 41.6 ± 11 years, 86.4% female, 84% White
RCT in the United States of America, Europe and Latin America, 03/2007 to 11/2007OutpatientTelcagepant 300 mgOral, 300 mg, once (optional second dose of the initial treatment or placebo)7 days484 Patients aged 41.8 ± 11.6 years, 86.3% female, 81.4% White
RCT in the United States of America, Europe and Latin America, 03/2007 to 11/2007OutpatientPlaceboOral, once (optional second dose of the initial tratment)7 days490 Patients aged 41.9 ± 11.9 years, 87.1% female, 83% White
Coppola, 199525RCT in the United States of America, 11/1991 to 06/1993EDMetoclopramide hydrochlorideIV, 10 mg in 2 mL, once for 2 minutes2 days after discharge24 Patients
RCT in the United States of America, 11/1991 to 06/1993EDProchlorperazineIV, 10 mg in 2 mL, once for 2 minutes2 days after discharge22 Patients
RCT in the United States of America, 11/1991 to 06/1993EDPlaceboIV, 2 mL, normal saline, once for 2 minutes2 days after discharge24 Patients
Corbo, 200126RCT in the United States of AmericaEDMetoclopramide plus magnesium sulfateIV, Metoclopramide: 20 mg, once for 2 minutes every 15 minutes as needed for pain up to a total of 3 doses or relief of pain, Magnesium sulfate: 2 g in a 10% normal saline solution (a total solution of 50 ml), once for 10 minutes every 15 minutes as needed for pain up to a total of 3 doses or relief of pain1 day21 Patients aged 39 ± 12 years, 95% female
RCT in the United States of AmericaEDMetoclopramide plus placeboIV, Metoclopramide: 20 mg, once for 2 minutes every 15 minutes as needed for pain up to a total of 3 doses or relief of pain, placebo: 50 ml normal saline, once for 10 minutes every 15 minutes as needed for pain up to a total of 3 doses or relief of pain1 day23 Patients aged 37 ± 8 years, 96% female
Croop, 201927RCT in the United States of America, 02/27/2018 to 08/28/2018OutpatientRimegepantSublingual, 75 mg, once7-9 days732 Patients aged 40.3 ± 12.1 years, 85% female, 74% White, 21% African American, 1% Asian, 1% American Indian or Alaska Native, 2% Native Hawaiian or other Pacific Islander, 1% Multiple, BMI 31.1 ± 8.2
OutpatientOutpatientPlaceboSublingual, once7-9 days734 Patients aged 40 ± 11.9 years, 85% female, 76% White, 18% African American, 3% Asian, <1% American Indian or Alaska Native, 1% Native Hawaiian or other Pacific Islander, 1% Multiple, BMI 30.6 ± 8
Dahlöf, 200928RCT in Australia, Belgium, Denmark, France, Germany, Holland, Spain, South Africa, Switzerland, Sweden, the United Kingdom and the United States of America, 07/1998 to 12/1998OutpatientPlaceboOral, once7 days166 Patients aged 40.4 ± 9.4 years, 79.1% female, 97.8% White, 0.8% African American, 0.8% Asian
RCT in Australia, Belgium, Denmark, France, Germany, Holland, Spain, South Africa, Switzerland, Sweden, the United Kingdom and the United States of America, 07/1998 to 12/1998OutpatientTonabersat 20 mgOral, 20 mg, once7 days168 Patients aged 39.6 ± 10.2 years, 85.8% female, 97% White, 2.2% African American, 0.8% Asian
RCT in Australia, Belgium, Denmark, France, Germany, Holland, Spain, South Africa, Switzerland, Sweden, the United Kingdom and the United States of America, 07/1998 to 12/1998OutpatientTonabersat 40 mgOral, 40 mg, once7 days166 Patients aged 38.8 ± 10.9 years, 83.9% female, 99.3% White
Demirkaya, 200129Crossover RCT in TurkeyOutpatientMagnesium sulfateIV, 1 g, once for 15 minutes1 dayEntire population: 15 Patients (Magnesium sulfate), 15 Patients (Placebo), age 35 ± 8.9 years
Crossover RCT in TurkeyOutpatientPlaceboIV, 10 mL, 0.9% saline, once, once. After 3o minutes IV, 1 g of Magnesium sulfate over 15 minutes for those with persistent complaints of pain, nausea, and vomiting1 dayEntire population: 15 Patients (Magnesium sulfate), 15 Patients (Placebo), age 35 ± 8.9 years
Derosier, 201030Crossover RCT in the United States of America, 12/2007 to 08/2009OutpatientButalbital, acetaminophen, caffeineOral, butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg, once2 daysEntire population: 392 Patients (Butalbital, Acetaminophen, Caffeine), 405 Patients (Placebo), age 42.6 ± 7.8 years, 88% female, 83% White, 14% African American, BMI 27.3 ± 7
Crossover RCT in the United States of America, 12/2007 to 08/2009OutpatientPlaceboOral, once2 daysEntire population: 392 Patients (Butalbital, Acetaminophen, Caffeine), 405 Patients (Placebo), age 42.6 ± 7.8 years, 88% female, 83% White, 14% African American, BMI 27.3 ± 7
Dexter, 198531RCT in the United KingdomOutpatientParacetamol plus metoclopramideOral, 2 tablets, paracetamol 500 mg, metoclopramide 5 mg, once (up to three times)112 days22 Patients aged 32 years, 77.27% female
RCT in the United KingdomOutpatientPlaceboOral, once (up to three times)112 days27 Patients aged 33 years, 59.26% female
Diamond, 200032RCT in the United States of AmericaOutpatientCivamide 20µgIntranasal, 20 µg, once7 daysEntire population: 27 Patients aged 36.5 years, 70.6% female
RCT in the United States of AmericaOutpatientCivamide 150µgIntranasal, 150 µg, once7 daysEntire population: 27 Patients aged 36.5 years, 70.6% female
Diamond, 197633Crossover RCT in the United States of AmericaOutpatientIsometheptene mucate, acetaminophen, and dichloralphenazoneOral, isometheptene mucate 65 mg, acetaminophen 325 mg, and dichloralphenazone 100 mg, twice (up to five times)14-60 daysEntire population: 168 Patients aged 49 ± 9.75 years, 71.4% female
Crossover RCT in the United States of AmericaOutpatientAcetaminophenOral, 325 mg, twice (up to five times)14-60 daysEntire population: 168 Patients aged 49 ± 9.75 years, 71.4% female
Crossover RCT in the United States of AmericaOutpatientPlaceboOral, corn starch and talc, twice (up to five times)14-60 daysEntire population: 168 Patients aged 49 ± 9.75 years, 71.4% female
Diener, 201134RCT, International 08/2008 to 05/2009OutpatientBI 44370 TA 50 mg (CGRP antagonist)Oral, 50 mg, once3-7 days79 Patients aged 42.8 ± 11.7 years, 84.4% female, 85.9% White
RCT, International 08/2008 to 05/2009OutpatientBI 44370 TA 200 mg (CGRP antagonist)Oral, 200 mg, once3-7 days85 Patients aged 41.2 ± 9.7 years, 81.5% female, 86.2% White
RCT, International 08/2008 to 05/2009OutpatientBI 44370 TA 400 mg (CGRP antagonist)Oral, 400 mg, once3-7 days84 Patients aged 41.1 ± 10 years, 75.3% female, 86.3% White
RCT, International 08/2008 to 05/2009OutpatientPlaceboOral, once3-7 days84 Patients aged 38.2 ± 10.3 years, 87.1% female, 87.1% White
Diener, 200335RCT, internationalOutpatientPlaceboOral, once2 days37 Patients aged 38 years, 83.8% female
RCT, internationalOutpatientDapitant 1 mgOral, 1 mg, once2 days38 Patients aged 39 years, 89.5% female
RCT, internationalOutpatientDapitant 5 mgOral, 5 mg, once2 days33 Patients aged 40 years, 93.9% female
RCT, internationalOutpatientDapitant 20 mgOral, 20 mg, once2 days31 Patients aged 41 years, 83.9% female
Diener, 200236RCT in Australia, Denmark, Finland, France, Germany, Netherlands, Norway, Spain, Sweden, UK, London, Israel, South africa, PolandOutpatientCaffeine plus ergotamineOral, 1 mg ergotamine tartrate with 100 mg caffeine, once or twice7-14 days203 Patients aged 42 ± 11 years, 86% female
RCT in Australia, Denmark, Finland, France, Germany, Netherlands, Norway, Spain, Sweden, UK, London, Israel, South africa, PolandOutpatientPlaceboOral, once or twice7-14 days106 Patients aged 40 ± 10 years, 86% female
Dodick, 201937RCT in United States of America, 07/22/2016 to 12/14/2017OutpatientUbrogepant 100 mgOral, 100 mg (2 tablets of Ubrogepant 50 mg), once. An optional second dose of either 2 tablets of placebo, 2 tablet of 5o mg Ubrogepant was allowed.4 weeks557 Patients aged 40.6±12 years, 86.2% female, 80.8% White, BMI 30.4±8
RCT in United States of America, 07/22/2016 to 12/14/2017OutpatientUbrogepant 50 mgOral, 50 mg (one tablet Ubrogepant 50 mg and one tablet placebo), once. An optional second dose of either 2 tablets of placebo, or one tablet of 5o mg Ubrogepant and one tablet of placebo was allowed.4 weeks556 Patients aged 40.1±11.7 years, 89.7% female, 82.2% White, BMI 30.2±8.1
RCT in United States of America, 07/22/2016 to 12/14/2017OutpatientPlaceboOral, 2 tablets, once. An optional second dose of 2 tablets of placebo was allowed.4 weeks559 Patients aged 40.9±11.7 years, 88.7% female, 84.5% White, BMI 30±7.4
Dogan, 201938RCT in Turkey, 12/2014 to 01/2017EDMetoclopramideIV, 10 mg in 100 mL normal saline solution, once for 10 minutes1-3 days74 Patients aged 35 ± 13.3 years, 67.6% female
RCT in Turkey, 12/2014 to 01/2017EDPlaceboIV, 100 mL normal saline, once for 10 minutes1-3 days74 Patients aged 33 ± 13.3 years, 62.2% female
Donaldson, 200839RCT in United States of America, 11/2004 to 11/2005EDPlaceboIV, 24 mg (5ml) once30 days53 Patients aged 35.17 years, 73.6% female
RCT in United States of America, 11/2004 to 11/2005EDDexamethasoneIV, 24 mg (5ml) once30 days62 Patients aged 37.48 years, 87.1% female
Etchison, 201840RCT in United States of America, 03/2016 to 03/2017EDKetamineIV, 0.2 mg/kg in 30 ml aliquots, once for 1 minute1 hour16 Patients aged 38.5 ± 13.75 years, 81% female, 19% African American, 62% White, 19% other
RCT in United States of America, 03/2016 to 03/2017EDPlaceboIV, 0.2 mg/kg saline in 30 ml aliquots, once for 1 minute1 hour18 Patients aged 30.5 ± 8.3 years, 72% female, 11% African American, 72% White, 17% other
Farahmand, 201841RCT in Iran, 03/2015 to 05/2016OutpatientVerum acupunctureSkin, sterile metallic needles with a width of 0.25 mm and length of 13 mm, which enter certain points in the ear’s skin1 dayEntire population: 30 Patients (Acupuncture), 30 Patients (Acupuncture placebo) aged 31.4 ± 7.6 years, 83.3% female
RCT in Iran, 03/2015 to 05/2016OutpatientSham acupunctureSkin, sterile metallic needles with a width of 0.25 mm and length of 13 mm, inserted into inappropriate acupoints (stomach, and spleen), once1 dayEntire population: 30 Patients (Acupuncture), 30 Patients (Acupuncture placebo) aged 31.4 ± 7.6 years, 83.3% female
Farkkila, 201242RCT in Finland, Germany, France, Spain and Belgium, 07/08/2009 to 02/18/2010OutpatientPlaceboOral, once14 days103 Patients aged 40.5 ± 10.3 years, 87% female, 100% White
RCT in Finland, Germany, France, Spain and Belgium, 07/08/2009 to 02/18/2010OutpatientLasmiditan 50 mgOral, 50 mg, once14 days106 Patients aged 40.4 ± 12.5 years, 84% female, 99% White
RCT in Finland, Germany, France, Spain and Belgium, 07/08/2009 to 02/18/2010OutpatientLasmiditan 100 mgOral, 100 mg, once14 days104 Patients aged 42 ± 10.6 years, 83% female, 99% White
RCT in Finland, Germany, France, Spain and Belgium, 07/08/2009 to 02/18/2010OutpatientLasmiditan 200 mgOral, 200 mg, once14 days100 Patients aged 39.5 ± 10.3 years, 92% female, 99% White
RCT in Finland, Germany, France, Spain and Belgium, 07/08/2009 to 02/18/2010OutpatientLasmiditan 400 mgOral, 400 mg, once14 days99 Patients aged 38.7 ± 10.3 years, 93% female, 99% White
Fernando, 201943RCT in United States of America, 11/2016 to 12/2017EDBuccally absorbed prochlorperazine (BAP)Buccally (under the upper lip), 6 mg of BAP + 2.25 mL IV normal saline solution1-2 days40 Patients aged 38.8 ± 12.3 years, 87% female
RCT in United States of America, 11/2016 to 12/2017EDIntravenous prochlorperazine (IVP)IV, 10 mg of IVP in a volume of 2.25 mL + buccal saccharine pills1-2 days40 Patients aged 37.3 ± 12.2 years, 65% female
Ferrari, 201044RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientPlaceboIV, 60 mL infusion, once for 20 minutes1 day42 Patients aged 40.3 ± 7.3 years, 90.5% female, 100% White
RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientLasmiditan 2.5 mgIV, 2.5 mg in 60 mL infusion, once for 20 minutes1 day4 Patients aged 46.8 ± 7.3 years, 75% female, 100% White
RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientLasmiditan 5 mgIV, 5 mg in 60 mL infusion, once for 20 minutes1 day12 Patients aged 39.2 ± 7.3 years, 83.3% female, 91.7% White, 8.3% Non-Caucasian
RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientLasmiditan 10 mgIV, 10 mg in 60 mL infusion, once for 20 minutes1 day24 Patients aged 34.2 ± 7.3 years, 87.5% female, 83.3% White, 16.7% Non-Caucasian
RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientLasmiditan 20 mgIV, 20 mg in 60 mL infusion, once for 20 minutes1 day28 Patients aged 38.9 ± 7.3 years, 85.7% female, 100% White
RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientLasmiditan 30 mgIV, 30 mg in 60 mL infusion, once for 20 minutes1 day16 Patients aged 40.3 ± 7.3 years, 87.5% female, 100% white
RCT in The Netherlands, Finland, Germany, 08/2006 to 07/2007OutpatientLasmiditan 45 mgIV, 45 mg in 60 mL infusion, once for 20 minutes1 day4 Patients aged 40.8 ± 7.3 years, 75% female, 100% White
Foroughipour, 201345RCT in Iran, during 2011EDValproateIV, 900 mg (diluted in 150 cc normal saline) (Patients at a minimum weight of 90 kg received 1200 mg), once for 10 minutes3 days20 Patients aged 33.9 ± 13.34 years, 89% female
RCT in Iran, during 2011EDDexamethasoneIV, 16 mg (diluted in 150 cc normal saline) (Patients at a minimum weight of 90 kg received 20 mg), once for 10 minutes3 days20 Patients aged 32.5 ± 11.12 years, 92% female
Freitag, 199346RCT in United States of AmericaEDTransnasal butorphanolTransnasal, 1 mg, twice6 hours32 Patients aged 39.4 ± 9.25 years, 97% White, 3% African American
RCT in United States of AmericaEDMethadoneIM, 10 mg, once6 hours32 Patients aged 38.4 ± 9.5 years, 91% White, 6% African American
RCT in United States of AmericaEDPlaceboIntranasal spray, twice, and IM, once6 hours32 Patients aged 37.2 ± 11.75 years, 97% White, 3% African American
Friedman, 200747RCT in United States of America, 07/2005 to 07/2006EDDexamethasone sodium phosphateIV, 10 mg1 day106 Patients aged 36 ± 10 years, 82% female, 27% African American, 6% White, 69% Latino
RCT in United States of America, 07/2005 to 07/2006EDPlaceboIV1 day99 Patients aged 37 ± 11 years, 88% female, 22% African American, 2% White, 70% Latino
Friedman, 198948RCT in United States of AmericaOutpatientCafergot P-BOral, 2 tablets at the first signs of a migraine, one tablet after 0.5 hour and another after 1 hour of the first dose. One tablet after 1.5 hour and another after 2 hours of the first dose if needed for a maximum dose of 6 tablets.3 hoursEntire population: 254 Patients aged 34.4 years, 87.4% female
RCT in United States of AmericaOutpatientCafergotOral, 2 tablets at the first signs of a migraine, one tablet after 0.5 hour and another after 1 hour of the first dose. One tablet after 1.5 hour and another after 2 hours of the first dose if needed for a maximum dose of 6 tablets.3 hoursEntire population: 254 Patients aged 34.4 years, 87.4% female
RCT in United States of AmericaOutpatientPlaceboOral, 2 tablets at the first signs of a migraine, one tablet after 0.5 hour and another after 1 hour of the first dose. One tablet after 1.5 hour and another after 2 hours of the first dose if needed for a maximum dose of 6 tablets.3 hoursEntire population: 254 Patients aged 34.4 years, 87.4% female
Friedman, 200849RCT in United States of America, 08/2006 to 03/2007EDProchlorperazineIV, 10 mg, once for 15 minutes1 day39 Patients aged 34 ± 10 years, 85% female, 36% African American, 51% White, 3% Asian, 62% Hispanic/Latino, 10% other
RCT in United States of America, 08/2006 to 03/2007EDMetoclopramideIV, 20 mg, once for 15 minutes1 day38 Patients aged 38 ± 12 years, 95% female, 42% African American, 53% White, 68% Hispanic/Latino, 5% other
Friedman, 201150RCT in United States of America, 05/2008 to 02/2010EDMetoclopramide 10 mg plus diphenhydramineIV, 10 mg metoclopramide plus 25 mg diphenhydramine, once for 20 minutes2 days113 Patients aged 39 ± 11 years, 83% female, 28% African American, 18% White, 70% Hispanic, 0.9% previous opioid use
RCT in United States of America, 05/2008 to 02/2010EDMetoclopramide 20 mg plus diphenhydramineIV, 20 mg metoclopramide plus 25 mg diphenhydramine, once for 20 minutes2 days118 Patients aged 37 ± 10 years, 87% female, 28% African American, 20% White, 1% Asian, 70% Hispanic, 3.4% previous opioid use
RCT in United States of America, 05/2008 to 02/2010EDMetoclopramide 40 mg plus diphenhydramineIV, 40 mg metoclopramide plus 25 mg diphenhydramine, once for 20 minutes2 days118 Patients aged 38 ± 12 years, 82% female, 20% African American, 19% White, 1% Asian, 76% Hispanic, 3.4% previous opioid use
Friedman, 201651RCT in United States of America, 04/2013 to 12/2015EDDiphenhydramine plus metoclopramideIV, diphenhydramine 50 mg plus metoclopramide 10 mg, once2 days104 Patients aged 41 ± 11 years, 85% female
RCT in United States of America, 04/2013 to 12/2015EDPlacebo plus metoclopramideIV, placebo (saline solution) plus metoclopramide 10 mg, once2 days104 Patients aged 36 ± 10 years, 89% female
Friedman, 201852RCT in United States of America, 08/2015 to 01/2018EDSham injectionIntradermally, 0.5 mL bupivacaine 0.5% bilaterally (1 mL total), once2 days15 Patients aged 40 ± 12 years, 80% female
RCT in United States of America, 08/2015 to 01/2018EDGreater occipital nerve blockIntradermally, 3 mL bupivacaine 0.5% bilaterally (6 mL total), once2 days13 Patients aged 35 ± 10 years, 92% female
Friedman, 201753RCT in United States of America, 03/2015 to 06/2016EDProchlorperazine plus diphenhydramineIV, 10 mg prochlorperazine plus 25 mg diphenhydramine, once for 5 minutes (additional optional dose after one hour)90 days63 Patients aged 32 ± 9 years, 79% female,
RCT in United States of America, 03/2015 to 06/2016EDHydromorphone plus normal saline placeboIV, 1 mg hydromorphone, once for 5 minutes (additional optional dose after one hour)90 days64 Patients aged 35 ± 11 years,, 88% female,
Fuglsang, 201854Crossover RCT in Denmark, 11/2016 to 10/2017OutpatientActive partial rebreathing deviceOral, twice for 40 minutes (20 minutes at the onset of the aura followed by 20 minutes after 40 minutes)1 dayEntire population: 11 Patients aged 35.5 ± 12 years,, 72.7% female, 100% Caucasian
Crossover RCT in Denmark, 11/2016 to 10/2017OutpatientSham partial rebreathing deviceOral, twice for 40 minutes (20 minutes at the onset of the aura followed by 20 minutes after 40 minutes)1 dayEntire population: 11 Patients aged 35.5 ± 12 years,, 72.7% female, 100% Caucasian
Gaffigan, 201555RCT in United States of America, 06/2013 to 02/2014EDDiphenhydramine plus haloperidolIV, diphenhydramine 25 mg plus haloperidol 5 mg, once for 2 minutes14 days31 Patients aged 29 ± 8 years,, 87% female
RCT in United States of America, 06/2013 to 02/2014EDDiphenhydramine plus metoclopramideIV, diphenhydramine 25 mg plus metoclopramide 10 mg, once for 2 minutes14 days33 Patients aged 29 ± 8 years,, 76% female
Gallagher, 199656RCT in United States of America, 04/1993 to 06/1994OutpatientDihydroergotamine mesylate 3 mgIntranasal, 3 mg, 3 times in each nostril1 dayEntire population: 348 Patients aged 40 ± 7.8 years
RCT in United States of America, 04/1993 to 06/1994OutpatientDihydroergotamine mesylate 2 mgIntranasal, 2 mg, 3 times in each nostril1 dayEntire population: 348 Patients aged 40 ± 7.8 years
RCT in United States of America, 04/1993 to 06/1994OutpatientPlaceboIntranasal, 3 times in each nostril1 dayEntire population: 348 Patients aged 40 ± 7.8 years
Gerhardt, 201157RCT in United States of America, 01/2002 to 04/2003OutpatientSecobarbitalOral, 100 mg, once or twice3 days14 Patients aged 45 ± 1.25 years, 94% female
RCT in United States of America, 01/2002 to 04/2003OutpatientPlaceboOral, once or twice3 days16 Patients aged 44 ± 3.25 years, 100% female
Goadsby, 201958RCT in United States of America, UK and Germany, 05/19/2016 to 06/29/2017OutpatientLasmiditan 200 mgOral, 200 mg, once within 4 hours of onset of migraine attack7 days721 Patients aged 41.8 ± 12.4 years, 82.6% female, 80.4% White, BMI 30.1 ± 8.2
RCT in United States of America, UK and Germany, 05/19/2016 to 06/29/2017OutpatientLasmiditan 100 mgOral, 100 mg, once within 4 hours of onset of migraine attack7 days721 Patients aged 43.4 ± 12.6 years, 84.9% female, 80.2% White, BMI 30.1± 8.3
RCT in United States of America, UK and Germany, 05/19/2016 to 06/29/2017OutpatientLasmiditan 50 mgOral, 50 mg, once within 4 hours of onset of migraine attack7 days716 Patients aged 42.8 ± 13.2 years, 84.7% female, 80.1% White, BMI 29.7 ± 7.6
RCT in United States of America, UK and Germany, 05/19/2016 to 06/29/2017OutpatientPlaceboOral, Placebo, once within 4 hours of onset of migraine attack7 days711 Patients aged 42.6 ± 12.9 years, 84.5% female, 80% White, BMI 30.4 ± 11.1
Goldstein, 199759Crossover RCT in United States of AmericaOutpatientLanepitant 240 mgOral, 240 mg, once4 daysEntire population: 53 Patients aged 18-65 years, 84.9% female
Crossover RCT in United States of AmericaOutpatientLanepitant 80 mgOral, 80 mg, once4 daysEntire population: 53 Patients aged 18-65 years, 84.9% female
Crossover RCT in United States of AmericaOutpatientLanepitant 30 mgOral, 30 mg, once4 daysEntire population: 53 Patients aged 18-65 years, 84.9% female
Crossover RCT in United States of AmericaOutpatientPlaceboOral, once4 daysEntire population: 53 Patients aged 18-65 years, 84.9% female
Gomez-Mancilla, 200160RCT in United States of AmericaOutpatientPNU-142633 (selective 5-HT1D agonist)Oral, 50 mg, once0.5 day34 Patients aged 35.6 ± 8.25 years, 62% female, 78% White
RCT in United States of AmericaOutpatientPlaceboOral, once0.5 day35 Patients aged 40.5 ± 9.5 years, 83% female, 88% White
Gomez-Mancilla, 201461Crossover RCT in Germany, Spain and the United States of America, 05/2009 to 08/2010OutpatientSelurampanelOral, 250 mg, once within 4 hours of onset of migraine attack1 day25 Patients aged 37.2 ± 9.25 years, 80% female, 96% White, 4% Hispanic, BMI 24.9 ± 3.6
Crossover RCT in Germany, Spain and the United States of America, 05/2009 to 08/2010OutpatientPlaceboOral, Placebo, once within 4 hours of onset of migraine attack1 day25 Patients aged 41.4 ± 10.99 years, 88% female, 84% White, 8% African American, 4% Pacific islander, 4% Other, BMI 23.7 ± 3.7
Griffith,200862Comparative observational in United States of America, 10/2002 to 03/2003EDHydromorphoneIV: 48 Patients, IM: 3 Patients, 0.5 mg: 15 Patients, 1.0 mg: 26 Patients, 2.0 mg: 7 Patients, and 4.0 mg: 3 Patients, onceNR51 Patients aged 36.5 ± 10.3 years, 86.3% female, 80.6% White (Hydromorphone). Entire population: 25.3% African American, 7.8% Hispanic, Asian, and others
Comparative observational in United States of America, 10/2002 to 03/2003EDMetoclopramideIV, 10 mg: 37 Patients, 20 mg: 58 Patients, onceNR95 Patients aged 35 ± 9.2 years, 85.3% female, 67.1% White (Metoclopramide). Entire population: 25.3% African American, 7.8% Hispanic, Asian, and others
Comparative observational in United States of America, 10/2002 to 03/2003EDOthers (Promethazine, Ondansetron, Sumatriptan, Ibuprofen, Ketorolac, Hydrocodone/acetaminophen, Acetaminophen, Prochlorperazine, Meperidine, Acetaminophen/butalbital/caffeine, Magnesium)IV, IM, Oral, onceNR54 Patients aged 36.5 ± 11.7 years, 88.9% female, 54.8% white (All Others). Entire population: 25.3% African American, 7.8% Hispanic, Asian, and others
Hakkarainen, 198263Crossover RCT, in FinlandOutpatientErgotamine 1 mgSuppository, once after attackNREntire population: 24 Patients aged 36.3 ± 9 years, 100% female
Crossover RCT, in FinlandOutpatientMetoclopramide 20 mgSuppository, once after attackNREntire population: 24 Patients aged 36.3 ± 9 years, 100% female
Crossover RCT, in FinlandOutpatientErgotamine 1 mg plus metoclopramide 20 mgSuppository, once after attackNREntire population: 24 Patients aged 36.3 ± 9 years, 100% female
Crossover RCT, in FinlandOutpatientErgotamine 2 mg plus metoclopramide 20 mgSuppository, once after attackNREntire population: 24 Patients aged 36.3 ± 9 years, 100% female
Hewitt, 201164RCT in Australia, Czech Republic, Finland, France, Germany, Hungary, India, New Zealand, Norway, Peru, Poland, South Africa, and the United States of America, 12/2008 to 08/2009OutpatientTelcagepant plus acetaminophenOral, 280 mg telcagepant plus 1000 mg acetaminophen, once, within 4 hours of the attack2-5 days171 Patients aged 42.3 ± 12.7 years, 88.7% female, 3.8% previous opioid use
RCT in Australia, Czech Republic, Finland, France, Germany, Hungary, India, New Zealand, Norway, Peru, Poland, South Africa, and the United States of America, 12/2008 to 08/2009OutpatientTelcagepantOral, 280 mg, once, within 4 hours of the attack2-5 days170 Patients aged 39.3 ± 11.6 years, 86.2% female, 7.3% previous opioid use
RCT in Australia, Czech Republic, Finland, France, Germany, Hungary, India, New Zealand, Norway, Peru, Poland, South Africa, and the United States of America, 12/2008 to 08/2009OutpatientPlaceboOral, once, within 4 hours of the attack2-5 days171 Patients aged 41.9 ± 12 years, 90.5% female, 2.8% previous opioid use
Hewitt, 201165RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 2.5 mgOral, 2.5 mg, once, immediately after attack14 days39 Patients aged 43.3 ± 10.5 years, 81.8% female, 97% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 5 mgOral, 5 mg, once, immediately after attack14 days57 Patients aged 43.4 ± 11.1 years, 85.1% female, 97.9% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 10 mgOral, 10 mg, once, immediately after attack14 days84 Patients aged 44.1 ± 10.0 years, 92.5% female, 92.5% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 20 mgOral, 20 mg, once, immediately after attack14 days86 Patients aged 44.1 ± 11.3 years, 80.6% female, 94.0% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 50 mgOral, 50 mg, once, immediately after attack14 days84 Patients aged 42.2 ± 10.8 years, 91.2% female, 94.1% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 100 mgOral, 100 mg, once, immediately after attack14 days83 Patients aged 42.4 ± 10.9 years, 83.9% female, 95.2% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientMK-3207 (CGRP receptor antagonist) 200 mgOral, 200 mg, once, immediately after attack14 days74 Patients aged 40.5 ± 10.7 years, 85.7% female, 93.7% White
RCT in United States of America, Canada and Europe, 7/2008 to 01/2009OutpatientPlaceboOral, once, immediately after attack14 days169 Patients aged 42.1 ± 11.2 years, 89.3% female, 94.3% White
Ho, 200766RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 25 mgOral, 25 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days16 Patients aged 43 years, 78.6% female, 71.4% White
RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 50 mgOral, 50 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days18 Patients aged 41.5 years, 93.3% female, 73.3% White
RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 100 mgOral, 100 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days17 Patients aged 40.9 years, 87.5% female, 68.7% White
RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 200 mgOral, 200 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days16 Patients aged 34.3 years, 75% female, 50% White
RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 300 mgOral, 300 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days54 Patients aged 40.5 years, 87.2% female, 74.4% White
RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 400 mgOral, 400 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days54 Patients aged 40.1 years, 93.3% female, 75.6% White
RCT in United States of America, 12/2005 to 05/2006OutpatientTelcagepant 600 mgOral, 600 mg, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days53 Patients aged 44.7 years, 90% female, 95% White
RCT in United States of America, 12/2005 to 05/2006OutpatientPlaceboOral, once, immediately after attack (second dose at 2 hours if still experiencing moderate or severe headache)14 days147 Patients aged 42.2 years, 90.4% female, 80% White
Ho, 200867RCT in Europe and United States of America, 02/2007 to 10/2007OutpatientTelcagepant 150 mgOral, 150 mg, once immediately after attack (optional second dose at 2 hours if they still had a moderate or severe migraine attack or experienced headache recurrence within 48 hours after initial treatment)14 days458 Patients aged 42.7 ± 11.2 years, 83% female, 96% White
RCT in Europe and United States of America, 02/2007 to 10/2007OutpatientTelcagepant 300 mgOral, 300 mg, once immediately after attack (optional second dose at 2 hours if they still had a moderate or severe migraine attack or experienced headache recurrence within 48 hours after initial treatment)14 days466 Patients aged 42.6 ± 11.4 years, 85% female, 96% White
RCT in Europe and United States of America, 02/2007 to 10/2007OutpatientPlaceboOral, once immediately after attack (optional second dose at 2 hours if they still had a moderate or severe migraine attack or experienced headache recurrence within 48 hours after initial treatment)14 days461 Patients aged 42.3 ± 12 years, 84% female, 93% White
Ho, 201068RCT in Europe, United States of America, Canada, Australia and Colombia, 09/2008 to 03/2009OutpatientTelcagepant 140 mgOral, 140 mg, once immediately after attack (optional second dose at 2 hours if they still had a moderate or severe migraine attack or experienced headache recurrence within 48 hours after initial treatment)14 days644 Patients aged 43.4 ± 11.7 years, 85.5% female, 94.9% White, 4% previous opioid use
RCT in Europe, United States of America, Canada, Australia and Colombia, 09/2008 to 03/2009OutpatientTelcagepant 280 mgOral, 280 mg, once immediately after attack (optional second dose at 2 hours if they still had a moderate or severe migraine attack or experienced headache recurrence within 48 hours after initial treatment)14 days645 Patients aged 42.4 ± 11.5 years, 85.8% female, 94.7% White, 5.3% previous opioid use
RCT in Europe, United States of America, Canada, Australia and Colombia, 09/2008 to 03/2009OutpatientPlaceboOral, once immediately after attack (optional second dose at 2 hours if they still had a moderate or severe migraine attack or experienced headache recurrence within 48 hours after initial treatment)14 days646 Patients aged 42.5 ± 11.6 years, 83.4% female, 93.9% White, 5% previous opioid use
Ho, 201269Crossover RCT in United States of America, Europe, South America, and Asia, 03/2008 to 08/2009OutpatientTelcagepant to acetaminophenOral, 280 mg tablet/300 mg capsule telcagepant crossing over to 1000 mg acetaminophen, once immediately after attack (optional second dose optional at 2 hours after initial treatment if the patient continued to have a moderate or severe headache or experienced headache recurrence)98 days84 Patients aged 56.6 ± 10.1 years, 58.9% female, 85.7% White, 28% previous opioid use
Crossover RCT in United States of America, Europe, South America, and Asia, 03/2008 to 08/2009OutpatientAcetaminophen to telcagepantOral, 1000 mg acetaminophen crossing over to 280 mg tablet/300 mg capsule telcagepant, once immediately after attack (optional second dose at 2 hours after initial treatment if the patient continued to have a moderate or severe headache or experienced headache recurrence)98 days81 Patients aged 55.7 ± 10 years, 62.1% female, 81% White, 27.6% previous opioid use
Hoffert, 199270Crossover RCT in United States of AmericaOutpatientNifedipineOral, 20 mg, at onset of the aura. If aura persisted allowed to repeat dose every 20 minutes to the maximum doseNREntire population: 14 Patients (Nifedipine), 13 Patients (Placebo) aged 33 ± 5.75, 66.6% female
Crossover RCT in United States of AmericaOutpatientPlaceboOral, at onset of the aura. If aura persisted allowed to repeat dose every 20 minutes to the maximum doseNREntire population: 14 Patients (Nifedipine), 13 Patients (Placebo) aged 33 ± 5.75, 66.6% female
Hoffert, 199571RCT in Unites States of AmericaOutpatientButorphanolNasal spray, 1 mg per spray, immediately after attack, additional doses were allowed within 30-90 minutes if pain relief had not been achieved then every 2-4 hours as needed, with a maximum of 12 sprays allowed over 1 day2 days107 Patients aged 41 ± 7 years, 85% female, 90% White, 7% African American, 1% Asian, 1% Hispanic
RCT in Unites States of AmericaOutpatientPlaceboNasal spray, Placebo, immediately after attack, additional doses were allowed within 30-90 minutes if pain relief had not been achieved then every 2-4 hours as needed, with a maximum of 12 sprays allowed over 1 day2 days50 Patients aged 40.6 ± 10.25 years, 82% female, 96% White, 4% African American
Hokenek, 202072RCT in Turkey, 06/2019 to 10/2019EDSham stimulationTranscutaneous electrical nerve stimulation (electrodes over supraorbital nerve), device include 27 kΩ resistance and 47 nF capacitance connected in parallel to the load, a pulse repetition frequency of 50 Hz, a pulse width of 125 μs, an impulse amplitude of 60 voltage, and a pulse energy of 18.4 μJ (±10%) on an oscilloscope, with empty battery and the device was electrically inactive), once for 20 minutes2 hours41 Patients aged 33.62±10.2 years
RCT in Turkey, 06/2019 to 10/2019EDTranscutaneous electrical nerve stimulationTranscutaneous electrical nerve stimulation (electrodes over supraorbital nerve), device include 27 kΩ resistance and 47 nF capacitance connected in parallel to the load, a pulse repetition frequency of 50 Hz, a pulse width of 125 μs, an impulse amplitude of 60 voltage and a pulse energy of 18.4 μJ (±10%) on an oscilloscope, with fully charged battery), once for 20 minutes2 hours42 Patients aged 35.62±8.77 years
Honkaniemi, 200673RCT in Finland, 01/2002 to 02/2005InpatientHaloperidolIV, 5 mg in 500 mL normal saline over 20-30 minutes30 daysEntire population: 20 Patients (in each study group) aged 36 years, 85% female, 17% previous opioid use
RCT in Finland, 01/2002 to 02/2005InpatientPlaceboIV, 500 mL normal saline over 20-30 minutes (if no relief in pain 1-3 hours after the infusion then received haloperidol as an open trial)30 daysEntire population: 20 Patients (in each study group) aged 36 years, 85% female, 17% previous opioid use
Hougaard, 201374Crossover RCT in Denmark, 06/2009 to 04/2011OutpatientNXN-188Oral, 600 mg, once7 daysEntire population: 49 Patients aged 39 ± 11 years, 75.5% female
Crossover RCT in Denmark, 06/2009 to 04/2011OutpatientPlaceboOral, once7 daysEntire population: 49 Patients aged 39 ± 11 years, 75.5% female
Jones, 199475RCT in United States of AmericaEDProchlorperazineRectal, 25 mg, once2 hours10 Patients aged 30.5 ± 2.5 years, 100% female
RCT in United States of AmericaEDPlaceboRectal, once2 hours10 Patients aged 28.4 ± 2.3 years, 90% female
Jones, 199676RCT in United States of America, 02/1991 to 07/1991EDProchloperazine-edisylateIM, 10 mg, once2 days28 Patients. Entire population:), aged 32.1 ± 2.1 years, 73% female
RCT in United States of America, 02/1991 to 07/1991EDMetoclopramide hydrochlorideIM, 10 mg, once2 days29 Patients. Entire population: aged 32.1 ± 2.1 years, 73% female
RCT in United States of America, 02/1991 to 07/1991EDPlaceboIM, 2 mL, once2 days29 Patients. Entire population: aged 32.1 ± 2.1 years, 73% female
Jones, 201977RCT in United States of America, 01/2017 to 09/2017EDFluid groupIV, 1 L of 0.9% saline solution over 1 hour2 days25 Patients aged 34 ± 3.75 years,76% female, 40% White, 40% African American, 40% Hispanic
RCT in United States of America, 01/2017 to 09/2017EDControl groupIV, 0.9% saline solution at 10 mL/hour over 1 hour2 days25 Patients aged 37 ± 5 years, 92% female, 42% White, 33% African American, 29% Hispanic
Kangasniemi, 199278Crossover RCT in Finland, 01/1987 to 01/1988OutpatientErgotamineSuppositories, 2 mg, once2 daysEntire population: 52 Patients in each group aged 39 ± 10.25 years, 88% female
Crossover RCT in Finland, 01/1987 to 01/1988OutpatientPlaceboSuppositories, once2 daysEntire population: 52 Patients in each group aged 39 ± 10.25 years, 88% female
Kapicioglu, 199779RCT in TurkeyOutpatientOctreotideSubcutaneous, 100 mg1 day17 Patients aged 39.7 years, 70.5% female
RCT in TurkeyOutpatientPlaceboSubcutaneous, isotonic saline1 day12 Patients aged 37.11 years, 75% female
Karimi, 201780RCT in Iran, 10/2014 to 06/2016EDDexamethasoneIV, 8 mg, once1 day40 Patients aged 33.4 ± 9.2 years, 85% female
RCT in Iran, 10/2014 to 06/2016EDValproate sodiumIV, 400 mg (diluted into 4 mL of normal saline), once1 day40 Patients aged 33.9 ± 9.5 years, 77.5% female
Klapper, 199381RCT in United States of AmericaOutpatientDihydroergotamine plus metoclopramide plus placeboIV, 1 mg dihydroergotamine plus 10 mg metoclopramide, IM, placebo1 hour14 Patients
RCT in United States of AmericaOutpatientMeperidine plus hydroxyzine plus placeboIM, 75 mg meperidine plus 75 mg hydroxyzine, IV, placebo1 hour14 Patients
Korucu, 201882RCT in Turkey, 01/2016 to 12/2016EDGreater occipital nerve blockadeSubcutaneous, 1 mL of 0.5% bupivacaine and 1 mL of normal saline, single injection (if the headache was on one side) or a double injection (if the headache was on both sides (total 4 mL)45 minutes20 Patients median age 40 ± 8.9 years, 90% female
RCT in Turkey, 01/2016 to 12/2016EDDexketoprofen trometamol 50 mg plus metoclopramide10 mgIV, 50 mg dexketoprofen plus 10 mg metoclopramide diluted in 100ml normal saline45 minutes20 Patients median age 35 ± 8.14, 75% female
RCT in Turkey, 01/2016 to 12/2016EDPlaceboSubcutaneous, 2 mL of normal saline, single injection (if the headache was on one side) or a double injection (if the headache was on both sides (total 4 mL)45 minutes20 Patients median age 40 ± 10.4 years, 90% female
Kuca, 201883RCT in United States of America, 04/27/2015 to 08/12/2016OutpatientLasmiditan 200 mgOral, 200 mg, once7 days745 Patients aged 41.4 ± 12 years, 84.6 % female, 73.9% White, BMI 31 ± 8.2
RCT in United States of America, 04/27/2015 to 08/12/2016OutpatientLasmiditan 100 mgOral, 100 mg, once7 days744 Patients aged 42.2 ± 11.7 years, 81.3 % female, 74.8% White, BMI 30 ± 8
RCT in United States of America, 04/27/2015 to 08/12/2016OutpatientPlaceboOral, once7 days742 Patients aged 42.4 ± 12.3 years, 85.1 % female, 77.6% White, BMI 30.3 ± 7.5
Lane, 198984RCT in CanadaEDChloropramazineIV, 25 mg diluted to 10 mL plus 10 mL normal saline, every 15 minutes as needed up to a total of three doses1 hour24 Patients aged 31 ± 6.5 years, 87.5% female, 75% previously used opioid
RCT in CanadaEDDimenhydrinate plus meperidineIV, 50mg dimenhydrinate diluted to 10 mL plus 100 mg meperidine diluted to 10 mL, every 15 minutes as needed up to a total of three doses1 hour22 Patients aged 31.09 ± 7.25 years, 81.8 % female, 68.1 % previously used opioid
Levy, 200585Crossover RCT in UKOutpatientOctreotideSubcutaneous, 100 µg in 1 mL normal saline, once2 daysEntire population: 43 Patients aged 48 ± 12 years, female 95%
Crossover RCT in UKOutpatientPlaceboSubcutaneous, 1 mL normal saline, once2 daysEntire population: 43 Patients aged 48 ± 12 years, female 95%
Li, 200986RCT in ChinaOutpatientVerum AcupunctureSkin by filiform Huatao needles, at the following acupoints Waiguan (TE 5),Yanglingquan (GB 34), Qiuxu (GB 40), Jiaosun (TE 20), and Fengchi (GB 20) used bilaterally.once, for 30 minutes1 day58 Patients aged 41.84 years ± 14.21, 56.9% female
RCT in ChinaOutpatientSham Acupuncture 1Skin by filiform Huatao needles, at nonacupoints located halfway between the triple Energizer and Small Intestine meridians lateral to the acupoints Waiguan (TE 5) horizontally; halfway between the line from Qiuxu (GB 40) to Jiexi (ST 41); halfway between the Gallbladder and Bladder meridians lateral to Yanglingquan (GB 34) horizontally; halfway between the line from Jiaosun (TE 20) to Shuaigu (GB 8); and halfway between the line from Fengchi (GB 20) to Anmian (extra point) bilaterally. Once for 30 minutes1 day60 Patients aged 39.65 ± 12.83 years, 55% female
RCT in ChinaOutpatientSham Acupuncture 2Skin by filiform Huatao needles, at nonacupoints located medial arm on the anterior border of the insertion of the deltoid muscle at the junction of the deltoid and biceps muscles; the inside of the mid-thigh region 2 cm lateral to half the distance from the anterior superior iliac spine to the lateral superior corner of the patella on the rectus femoris;13 the edge of the tibia 1 to 2 cm lateral to the Zusanli (ST 36) point horizontally; halfway between the tip of the elbow and the axillae and halfway between the epicondylus medialis of the humerus and ulnar side of the wrist bilaterally.once for 30 minutes1 day57 Patients aged 39.49 ± 11.6 years, 70.2% female
Lipton, 200087RCT in United Stated of America, 03/11/1998 to 08/10/1998OutpatientAcetaminophenOral, 1000 mg, once6 hours176 Patients aged 37.3 ± 10.4 years, 76.9% female, 23.8% African American, 75.5% White, 0.7% others
RCT in United Stated of America, 03/11/1998 to 08/10/1998OutpatientPlaceboOral, once6 hours175 Patients aged 36 ± 9.3 years, 83.1% female, 28.9% African American, 69.7% white, 1.4% others
Lipton, 201088RCT (non-inferiority) in United States of America, 08/2006 to 02/2008OutpatientSingle-pulse transcranial magnetic stimulation (sTMS)Transcranial (below the occipital bone), pulse of nominally 0·9 T peak (measured 1 cm from the device surface) with a rise time of roughly 180 μs and a total pulse length of less than 1 ms, two pulses about 30 s apart (treat up to 3 attacks)90 days102 Patients aged 38.8 ± 11.2 years, 82% female
RCT (non-inferiority) in United States of America, 08/2006 to 02/2008OutpatientSham stimulationTranscranial (below the occipital bone), two pulses about 30 s apart (treat up to 3 attacks)90 days99 Patients aged 40.1 ± 10.8 years, 77% female
Lipton, 201989RCT in United States of America, 07/2017 to 01/2018OutpatientRimegepantOral, 75 mg, once7 days594 Patients aged 40.2 ± 11.9 years, 89.2% female, 20.7% African American, 73.4% White, 1.5% Asian, 14.3% Hispanic, 4.47% others, BMI 31.0 ± 7.9
RCT in United States of America, 07/2017 to 01/2018OutpatientPlaceboOral, once7 days592 Patients aged 40.9 ± 12.1 years, 88.2% female, 22.1% African American, 74.6% White, 1.5% Asian, 15.5% Hispanic, 1.8% others, BMI 31.8 ± 8.5
Lipton, 201990RCT in United States of America, 08/26/2016 to 02/26/2018OutpatientUbrogepant 50 mgOral, 50 mg, once within 4 hours of a qualifying migraine attack42 days562 Patients aged 41.2±12.5 years, 91% female, 16.8% African American, 81.6% White, 0.4% Asian, 21.9% Hispanic, 0.4% American Indian or Alaska Native, 0.2% Native Hawaiian or other Pacific Islander, 0.6% multiple, BMI 30.5±7.5, 3.9% previous opioid use
RCT in United States of America, 08/26/2016 to 02/26/2018OutpatientUbrogepant 25 mgOral, 25 mg, once within 4 hours of a qualifying migraine attack42 days561 Patients aged 41.6±12.4 years, 90.2% female, 14% African American, 83.5% White, 1.3% Asian, 23% Hispanic, 0.2% American Indian or Alaska Native, 0.2% Native Hawaiian or other Pacific Islander, 0.8% multiple, BMI 29.6±7, 3.6 % previous opioid use
RCT in United States of America, 08/26/2016 to 02/26/2018OutpatientPlaceboOral, once within 4 hours of a qualifying migraine attack42 days563 Patients aged 41.7±12.1 years, 88.6% female, 16.4% African American, 80% White, 1.4% Asian, 19.8% Hispanic, 0.6% American Indian or Alaska Native, 0.2% Native Hawaiian or other Pacific Islander, 1.4% multiple, BMI 29.8±7.7, 3.8% previous opioid use
Loisy, 198591RCT in FranceOutpatientPlaceboIV, once over 3-5 minutes2 hours23 Patients. Entire population: age range 31 – 74 years, 76.6% female
RCT in FranceOutpatientBemesetron, 5HT3 receptor antagonist (MDL 72,222)IV, 20 mL (1mg/mL), once over 3-5 minutes2 hours24 Patients. Entire population: age range 31 – 74 years, 76.6% female
Maizels, 199692RCT in United States of America, 12/1994 to 10/1995Urgent CareLidocaineIntranasal, 0.5 mL of 4% lidocaine topical solution dripped in one nostril over 30 seconds (1 mL in case the headache is bilateral dripped over 1 minute), 1-2 times1 day53 Patients median age 43 ± 11.9 years, 87% female
RCT in United States of America, 12/1994 to 10/1995Urgent CarePlaceboIntranasal, 0.5 mL, normal saline dripped in one nostril over 30 seconds (1 mL in case the headache is bilateral dripped over 1 minute), 1-2 times1 day28 Patients median age 40 ± 11.5 years, 75% female
Maizels, 199993RCT in United States of America, 01/1997 to 01/1998OutpatientLidocaineIntranasal, 0.5 mL of 4% lidocaine topical solution dripped in one nostril over 30 seconds (1 mL in case the headache is bilateral dripped over 1 minute), 1-2 times30 days (RCT),180 days (open label)66 Patients aged 44.5 ± 9.1 years, 83.1% female
RCT in United States of America, 01/1997 to 01/1998OutpatientPlaceboIntranasal, 0.5 mL, normal saline dripped in one nostril over 30 seconds (1 mL in case the headache is bilateral dripped over 1 minute), 1-2 times30 days (RCT),180 days (open label)65 Patients aged 47 ± 10.2 years, 87.9% female
Marcus, 200894RCT in United States of AmericaEDIntegrated EMDR (eye movement desensitization reprocessing)Behavioral intervention, Participant’s use of diaphragmatic breathing coupled with head compression by the provider, once for 12-60 minutes7 days26 Patients aged 38.33 ± 10.57 years, 95.2% female, 30% White
RCT in United States of AmericaEDStandard CareVariable interventions (oral / injection; depending on drug type), Variable dosage depends on the drug, once7 days26 Patients aged 37.95 ± 9.57 years, 95.5% female, 68.2% White
Marcus, 201495RCT in United States of America, 10/2011 to 05/ 2012OutpatientPlaceboOral, once7 days229 Patients aged 37.9 ± 11.36 years, 86% female, 12% African American, 84% White, 3% others
RCT in United States of America, 10/2011 to 05/ 2012OutpatientRimegepant 10 mgOral, 10 mg, once7 days85 Patients aged 41.1 ± 10.36 years, 79% female, 14% African American, 79% White, 7% others
RCT in United States of America, 10/2011 to 05/ 2012OutpatientRimegepant 25 mgOral, 25 mg, once7 days68 Patients aged 36.5 ± 11.92 years, 90% female, 10% African American, 87% White, 3% others
RCT in United States of America, 10/2011 to 05/ 2012OutpatientRimegepant 75 mgOral, 75 mg, once7 days91 Patients aged 38.5 ± 11.87 years, 89% female, 7% African American, 90% White, 3% others
RCT in United States of America, 10/2011 to 05/ 2012OutpatientRimegepant 150 mgOral, 150 mg, once7 days90 Patients aged 39.2 ± 11.26 years, 70% female, 20% African American, 72% White, 8% others
RCT in United States of America, 10/2011 to 05/ 2012OutpatientRimegepant 300 mgOral, 300 mg, once7 days121 Patients aged 41.9 ± 11.46 years, 84% female, 13% African American, 84% White, 1% others
RCT in United States of America, 10/2011 to 05/ 2012OutpatientRimegepant 600 mgOral, 600 mg, once7 days92 Patients aged 39.3 ± 13.01 years, 83% female, 11% African American, 87% White, 2% others
Mazaheri, 201596RCT in Iran, 04/2012 to 06/2014EDValporate SodiumIV, 400 mg (plus 50 mL saline normal solution) for 15 minutes, once2 hours43 Patients aged 37.29 ± 11.7 years, 82.9% female
RCT in Iran, 04/2012 to 06/2014EDDexamethasoneIV, 16 mg (plus 50 mL saline normal solution) for 15 minutes, once2 hours43 Patients aged 32.05 ± 9.1 years, 81.1% female
McEwen, 198797RCT in Canada, 03/1985 to 11/1985EDChlorpromazineIM, 50 mg/2mL (1 mg/kg), once1 day19 patients aged 30 years, 94.7% female
RCT in Canada, 03/1985 to 11/1985EDNormal salineIM, 2 mL, normal saline, once1 day17 patients aged 36 years, 88.2% female
Miller, 200998RCT in United States of America, 02/2006 to 02/2007EDProchlorperazineIV, 10 mg once for 2 minutes3 days20 Patients aged 27.5 ± 5.8 years, 70% female
RCT in United States of America, 02/2006 to 02/2007EDOctreotideIV, 100 μg, once for 2 minutes3 days24 Patients aged 31.1 ± 11.1 years, 78% female
Million, 198499RCT in EnglandOutpatientFlupirtineOral, 100 mg, up to 4 times a day for 5 days5 days24 Patients aged 42.6 ± 3.3 years, 80% female
RCT in EnglandOutpatientParacetamolOral, 500 mg, up to 4 times a day for 5 days5 days23 Patients aged 49.6 ± 2.8 years, 95% female
Mitra, 2020100RCT in AustraliaEDPropofolIV, 1 mg/kg, slowly for 1 minN/A15 Patients aged 32.9±10.3 years, 47% female
RCT in AustraliaEDStandard therapy (chlorpromazine, metoclopramide, ondansetron, lignocaine, magnesium sulphate, or morphine)N/AN/A14 Patients aged 37.9±9.4 years, 89% female.
Molaie, 1987101RCT in United States of AmericaEDVerapamil hydrochlorideIV, 2 cc (10 mg), once1 hour6 Patients. Entire population: aged 33.75 ± 8.3 years, 50% female
RCT in United States of AmericaEDPlaceboIV, 2 cc, once1 hour6 Patients. Entire population: aged 33.75 ± 8.3 years, 50% female
Niazi, 2007102Crossover RCT in IranOutpatientRose damascene oilSkin, 2 cc of the rose damascene oil on forehead and temporal zones at onset of migraine attacks1 dayEntire population: 40 Patients aged 34.89 ± 10.81 years, BMI 25.50 ± 4.77
Crossover RCT in IranOutpatientPlaceboSkin, 2 cc of the paraffin oil forehead and temporal zones at the onset of migraine attacks1 dayEntire population: 40 Patients aged 34.89 ± 10.81 years, BMI 25.50 ± 4.77
Pfaffenrath, 1990103RCT in GermanyOutpatientFlunarizine 10 mgIV, 10 mg, once2 hours37 Patients aged 39 ± 10.5 years, 70% female
RCT in GermanyOutpatientFlunarizine 20 mgIV, 20 mg, once2 hours32 Patients aged 44 ± 13.25 years, 72% female
RCT in GermanyOutpatientPlaceboIV, HP-beta-cyclodextrine, once2 hours33 Patients aged 43 ± 10.5 years, 61% female
Prior, 2010104RCT in United States of America, 02/1999 to 06/1999OutpatientAcetaminophenOral, 1000 mg, once3 days190 Patients aged 38.1 ± 11 years, 80.8% female, 87% White
RCT in United States of America, 02/1999 to 06/1999OutpatientPlaceboOral, placebo, once3 days188 Patients aged 39.8 ± 11.8 years, 85.8% female, 85.8% White
Rafieian-Kopaei, 2019105RCT in IranOutpatientLidocaineIntranasal, 4%, once-twice60 days41 Patients aged 30.6 ± 6.3 years, 76.3% female
RCT in IranOutpatientPeppermint essential oilIntranasal, 1.5%, once-twice60 days38 Patients aged 30.42 ± 7.2 years, 76.3.6% female
RCT in IranOutpatientPlaceboIntranasal, placebo, once-twice60 days41 Patients aged 31.8 ± 5.8 years, 68.3% female
Rapoport, 1995106RCT in the United States of AmericaOutpatientDihydroergotamineNasal spray, 2 mg in 0.5 mL, divided into 2 sprays delivered in 15 minutes interval4 hours114 Patients. Entire population: age range 18-62, 70% female 0% White
RCT in the United States of AmericaOutpatientPlaceboNasal spray, 0.5 mL, divided into 2 sprays delivered in 15 minutes interval4 hours115 Patients. Entire population: age range 18-62, 70% female 0% White
Reutens, 1991107RCT in Australia, 04/1989 to 12/1989EDLidocaineIV, 66 mg, once for 2 minutes0.3 hour13 Patients aged 40 years, 92% female
RCT in Australia, 04/1989 to 12/1989EDPlaceboIV, placebo, once for 2 minutes0.3 hour12 Patients aged 30 years, 67% female
Richman, 2002108RCT in United States of AmericaEDDroperidolIM, 2.5 mg, once0.5 hour15 Patients aged 30.7 ± 8.9 years, 73% female
RCT in United States of AmericaEDMeperidineIM, 1.5 mg/ kg, once0.5 hour14 Patients aged 32.7 ± 9.9 years, 71% female
Rowat, 1991109RCT in CanadaEDGranisetron 40 μg/kgIV, 20 mL (1000 μg/ mL diluted in 0.9% saline), once for 3 minutes3 ±1 days10 Patients aged 39.5 ± 11.8 years, 50% female, weight 72.4 ± 11.7
RCT in CanadaEDGranisetron 80 μg/kgIV, 20 mL (2000 μg/ mL diluted in 0.9% saline), once for 3 minutes3 ±1 days10 Patients aged 38.2 ± 13.8 years, 80% female, weight 59.8 ± 9.2
RCT in CanadaEDPlaceboIV, placebo, once for 3 minutes3 ±1 days8 Patients aged 41.3 ± 8.6 years, 87.5% female, weight 63.1 ± 11.9
Ryan, 1970110Crossover RCT in United States of AmericaOutpatientErgostine 1 mg plus caffeine 100 mgOral, 1 mg ergostine plus 100 mg caffeine, medication was taken at first sign of headache (2 tablets) followed by 1 tablet every ½ hour until attack was aborted or a maximum of six tablets had been taken1 dayEntire population: 48 Patients aged 46 ± 12.25 years, 68.7% female
Crossover RCT in United States of AmericaOutpatientErgostamine tartrate 1 mg plus caffeine 100 mgOral, 1 mg ergotamine tartrate plus 100 mg caffeine, medication was taken at first sign of headache (2 tablets) followed by 1 tablet every ½ hour until attack was aborted or a maximum of six tablets had been taken1 dayEntire population: 48 Patients aged 46 ± 12.25 years, 68.7% female
Crossover RCT in United States of AmericaOutpatientPlaceboOral, medication was taken at first sign of headache (2 tablets) followed by 1 tablet every ½ hour until attack was aborted or a maximum of six tablets had been taken1 dayEntire population: 48 Patients aged 46 ± 12.25 years, 68.7% female
Salazar, 2011111RCT in Spain, 01/2007 to 03/2009EDMetoclopramideIV, 10 mg diluted in 100 cc of saline, once2 days43 Patients aged 35 years, 53.48% female
RCT in Spain, 01/2007 to 03/2009EDParacetamolIV, 1g diluted in 100 mL of saline, once2 days45 Patients aged 42 years, 51.11% female
Sang, 2004112RCT in United States of America, 08/1999 to 09/2000OutpatientTezampanelIV,1.2 mg/ kg, once for 15 minutes1 day14 Patients aged 38 ± 8 years, 61% female
RCT in United States of America, 08/1999 to 09/2000OutpatientPlaceboIV, once for 15 minutes1 day16 Patients aged 43 ± 12 years, 44% female
Sasannejad, 2012113Comparative observational in IranOutpatientLavender essential oilTopical/ inhale, 2-3 drops of oil, 1-6 times over 15 minutes2 hours19 Patients aged 31 ± 8 years, 71.4 female
Comparative observational in IranOutpatientPlaceboTopical/ inhale, 2-3 drops of placebo, 1-6 times over 15 minutes2 hours28 Patients aged 29 ± 7 years, 73.3% female
Scherl, 1995114RCT in United States of AmericaOutpatientDihydroergotamine plus metoclopramideIV, 0.5 mg dihydroergotamine with 10 mg metoclopramide, once1 day14 Patients. Entire population: aged 30.6 ± 7.6 years, 70.4% female
RCT in United States of AmericaOutpatientMeperidine plus promethazineIM, 75 mg meperidine with 25 mg promethazine, once1 day13 patients. Entire population: aged 30.6 ± 7.6 years, 70.4% female
Shahrami, 2015115RCT in Iran, 2011EDDexamethasone plus metoclopramideIV, 8 mg dexamethasone and 10 mg metoclopramide in 100 mL normal saline solution, once for 15 minutes2 hours35 Patients aged 38 ± 11.2 years, 60% female
RCT in Iran, 2011EDMagnesium sulfateIV, 1 g in 100 mL normal saline, once for 15 minutes2 hours35 Patients aged 36 ± 12.6 years, 45.7% female
Sharma, 2002116RCT in IndiaOutpatientBuccal prochlorperazineOral, 3 mg, onceN/AEntire population: 45 Patients aged 18 to 50 years, 62.2% female
RCT in IndiaOutpatientBuccal placeboOral, onceN/AEntire population: 45 Patients aged 18 to 50 years, 62.2% female
RCT in IndiaOutpatientErgotamine tartarate plus caffeineOral, 1 mg ergotamine tartarate plus 100 mg caffeine, onceN/AEntire population: 45 Patients aged 18 to 50 years, 62.2% female
Silberstein, 2005117RCT in United States of AmericaOutpatientAcetaminophen plus tramadolOral, 75 mg/650 mg, once1 day188 Patients aged 39.2 ± 11.29 years, 87% female, 83.8% White, 10.4% Black, 1.3% Asian, 4.5% Other
RCT in United States of AmericaOutpatientPlaceboOral, once1 day187 Patients aged 39.1 ± 10.47 years, 83.4% female, 87.6% White, 6% Black, 2% Asian, 4.6% Other
Silberstein, 2009a118RCT in Australia, South Africa, Belgium, France, Germany, and UK, 06/1997 to 10/1997OutpatientTonabersat 15 mgOral, 15 mg, once7-10 days109 Patients aged 39.4 ± 9.9 years, 77.1% female, 94.5% White
RCT in Australia, South Africa, Belgium, France, Germany, and UK, 06/1997 to 10/1997OutpatientTonabersat 40 mgOral, 40 mg, once7-10 days115 Patients aged 40.2 ± 11.1 years, 87% female, 93.9% White
RCT in Australia, South Africa, Belgium, France, Germany, and UK, 06/1997 to 10/1997OutpatientTonabersat 80 mgOral, 80 mg, once7-10 days109 Patients aged 40.5 ± 11.3 years, 82.6% female, 93.6% White
RCT in Australia, South Africa, Belgium, France, Germany, and UK, 06/1997 to 10/1997OutpatientPlaceboOral, once7-10 days108 Patients aged 39.7 ± 11.2 years, 76.9% female, 91.7% White
Silberstein, 2009b118RCT in Canada, United States of America, 06/1997 to 10/1997OutpatientPlaceboOral, once7-10 days101 Patients aged 39.6 ± 10.3 years, 82.2% female, 94.1% White
RCT in Canada, United States of America, 06/1997 to 10/1997OutpatientTonabersat 25 mgOral, 25 mg, once7-10 days102 Patients aged 40.4 ± 10.6 years, 88.2% female, 95.1% White
RCT in Canada, United States of America, 06/1997 to 10/1997OutpatientTonabersat 40 mgOral, 40 mg, once7-10 days106 Patients aged 39.4 ± 9.5 years, 84.9% female, 95.3% White
RCT in Canada, United States of America, 06/1997 to 10/1997OutpatientTonabersat 80 mgOral, 80 mg, once7-10 days109 Patients aged 39.5 ± 9.1 years, 83.5% female, 95.4% White
Silberstein, 2003119RCT in United States of America, 12/19/1997 to 06/15/1998OutpatientDroperidol 0.1 mgIM, 0.1 mg, once7 days63 Patients aged 42 ± 10.5 years, 81% female
RCT in United States of America, 12/19/1997 to 06/15/1998OutpatientDroperidol 2.75 mgIM, 2.75 mg, once7 days61 Patients aged 41 ± 9.1 years, 80% female
RCT in United States of America, 12/19/1997 to 06/15/1998OutpatientDroperidol 5.5 mgIM, 5.5 mg, once7 days59 Patients aged 41 ± 10.8 years, 81% female
RCT in United States of America, 12/19/1997 to 06/15/1998OutpatientDroperidol 8.25 mgIM, 8.25 mg, once7 days61 Patients aged 42 ± 10 years, 77% female
RCT in United States of America, 12/19/1997 to 06/15/1998OutpatientPlaceboIM, once7 days61 Patients aged 41 ± 9.7 years, 85% female
Soleimanpour, 2012120RCT in IranEDPropofolIV, 10 mg, every 5-10 minutes (maximum dose of 80 mg), rate of 1 mL for 10 secondsN/A45 Patients aged 35.65 ± 12.55 years, 66.6% female
RCT in IranEDDexamethasoneIV, 4 mg/mL with dose of 0.15 mg/kg (maximum dose of 16 mg), rate of 1 mL for 10 secondsN/A45 Patients aged 36.27 ± 13.38 years, 62.22% female
Soyka, 1988121RCT in GermanyOutpatientFlunarizineIV, 20 mg, once0.5 days33 Patients aged 41±10 years, 80.6% female
RCT in GermanyOutpatientPlaceboIV, once0.5 days33 Patients aged 38±10 years, 72.4% female
Soyka, 1989122RCT in GermanyEDFlunarizineIV, 20 mg0.5 days31 Patients aged 41±10 years, 80.6% female
RCT in GermanyEDPlaceboIV, 20 mg0.5 days29 Patients aged 38±10 years, 72.4% female
Stiell, 1991123RCT in Canada, 02/1990 to 09/1990EDMethotrimeprazineIM, 37.5 mg, once2 days37 Patients aged 30.9±7.3 years, 67.6% female
RCT in Canada, 02/1990 to 09/1990EDMeperidine plus dimenhydrinateIM, 75 mg meperidine with 50 mg dimenhydrinate, once2 days37 Patients aged 32.5±8.9 years, 83.8% female
Swidan, 2005124Comparative observational in United States of America, 02/1999 to 03/2000InpatientDihydroergotamine mesylate (DHE-45)IV, 0.25-1.0 mg, 3 times daily for 3 days3 days40 Patients aged 38±14.25 years, 68% female
Comparative observational in United States of America, 02/1999 to 03/2000InpatientDiphenhydramineIV, 25-75 mg, 3 times daily for 3 days3 days40 Patients aged 46±11.5 years, 70% female
Taheraghdam, 2011125RCT in Iran, 09/2008 to 05/2009EDDexamethasoneIV, 8 mg, once1 day93 Patients aged 45.93±16.1 years, 55.9% female
RCT in Iran, 09/2008 to 05/2009EDMorphineIV, 0.1 mg/kg, once1 day97 Patients aged 42.34±16.2 years, 67% female
Tanen, 2003126RCT in United States of America, 01/2002 to 08/2002EDSodium valproateIV, 500 mg, once for 2 minutes0.5 days20 Patients aged 31±9.3, 58% female
RCT in United States of America, 01/2002 to 08/2002EDProchlorperazineIV, 10 mg, once for 2 minutes0.5 days20 Patients aged 38.8±11, 79.2% female
Tassorelli, 2018127RCT in Italy, 01/11/2016 to 03/31/2017OutpatientNoninvasive vagus nerve stimulationTransdermal, a low-voltage electrical signal comprising a 5-kHz sine wave burst lasting for 1 ms (5 sine waves, each lasting 200 μs), with such bursts repeated once every 40 ms (25 Hz), generating a 24-V peakvoltage and 60-mA peak output current for 2 minutes5 days122 Patients aged 38.8±11 years, 79.24% female, 100% White
RCT in Italy, 01/11/2016 to 03/31/2017OutpatientSham stimulationTransdermal, a low-frequency (0.1 Hz) biphasic signal for 2 minutes5 days126 Patients aged 39.6±11.8 years, 30% female, 100% White
Tek, 1990128RCT in United States of America, 08/1987 to 04/1988EDMetoclopramideIV, 10 mg, once2 days24 Patients age range 18-60
RCT in United States of America, 08/1987 to 04/1988EDPlaceboIV, 2 mL, once2 days26 Patients age range 18-60
Treves, 1998129RCT in BrazilOutpatientDihydroergotamine 1 mgNasal, 1 mg, 2 to 4 timesN/A19 Patients aged 33.3±12.3 years, 78.9% female
RCT in BrazilOutpatientDihydroergotamine 0.5 mgNasal, 0.5 mg, 2 to 4 timesN/A17 Patients aged 33.7±10 years, 41.2% female
RCT in BrazilOutpatientPlaceboNasal, 2 to 4 timesN/A16 Patients aged 34.8±13.7 years, 62.5% female
Triner, 1999130RCT in United States of America, 07/10/1995 to 11/30/1995EDNitrous oxide plus oxygenInhalation, 50% (NO) 50% Oxygen, once for 20 minutes0.5 days10 Patients aged 34.5± 11.8 years, 80% female, 70% White
RCT in United States of America, 07/10/1995 to 11/30/1995EDOxygenInhalation, 100% Oxygen, once for 20 minutes0.5 days12 Patients aged 28.1 ± 5.5 years, 91.6% female, 80% White
Tulunay, 2004131Crossover RCT in TurkeyOutpatientDipyroneOral, 1g, once1 day49 Patients aged 32.7 ± 8.7 years, 81% female
Crossover RCT in TurkeyOutpatientPlaceboOral, once1 day23 Patients aged 32.7 ± 8.7 years, 81% female
Tulunay, 1987132Crossover RCT in TurkeyOutpatientDipyroneIntranasal (Puff), 4 mg/mL of DHE in an aqueous solution of 1 % caffeine and 5% glucose, 2 to 3 times0.5 daysEntire population: 17 Patients aged 26.1 ± 3.34 years, 58.6% female
Crossover RCT in TurkeyOutpatientPlaceboIntranasal (Puff), 2 to 3 times0.5 daysEntire population: 17 Patients aged 26.1 ± 3.34 years, 58.6% female
Voss, 2016133RCT in United States of AmericaOutpatientUbrogepant 1 mgOral, 1 mg, once14 days138 Patients aged 39.6 ± 10.7 years, 88.8% female, BMI 29.4±7.3
RCT in United States of AmericaOutpatientUbrogepant 10 mgOral, 10 mg, once14 days139 Patients aged 41.1 ± 10.9 years, 85.2% female, 29.6±7.1
RCT in United States of AmericaOutpatientPlaceboOral, once14 days139Patients aged 40.5 ± 11.7 years, 87.65% female, BMI 28.5±7
RCT in United States of AmericaOutpatientUbrogepant 25 mgOral, 25 mg, once14 days139 Patients aged 41.4 ± 11.5 years, 86.8% female, BMI 29.2±8.1
RCT in United States of AmericaOutpatientUbrogepant 50 mgOral, 50 mg, once14 days139 Patients aged 40.7 ± 12.3 years, 88.2% female, BMI 27.8±8.1
RCT in United States of AmericaOutpatientUbrogepant 100 mgOral, 100 mg, once14 days140 Patients aged 41.9 ± 11 years, 83.3% female, BMI 29.2±7
Wang, 2012134RCT in China 03/2007 to 02/2009OutpatientVerum AcupunctureAcupoints, once for 30 minutes3 days75 Patients aged 37.8 ± 10.6 years, 89.3% female
RCT in China 03/2007 to 02/2009OutpatientSham AcupunctureAcupoints, once for 30 minutes3 days75 Patients aged 38.6 ± 12.6 years, 84% female
Wasay, 2006135Comparative observational in PakistanEDAny opioid (pethidine, 25; pentazocine, 10; and oral opioidanalgesics, 4)N/AN/A39 Patients aged 30 ± 12 years, 64% female
Comparative observational in PakistanEDAny non-opioid (diclofenac, 80; ketorolac, 32; tramadol, 10)N/AN/A122 Patients aged 34 ± 15, 64% female
Yang, 2012136RCT in China, 07/2008 to 09/2009OutpatientTraditional acupuncture groupReceived specific stimulation of traditional acupoints by electroacupuncture treatment (EAT) for 30 minutes, stimulation frequency was 2/100 Hz, and the stimulation intensity varied from 0.1 to 1.0 mA as long as the patients felt comfortable1 hourEntire population: 30 Patients aged 32.87 ± 8.71 years, 60% female
RCT in China, 07/2008 to 09/2009OutpatientSham acupuncture groupReceived nonspecific stimulation by electroacupuncture treatment (EAT) for 30 minutes, stimulation frequency was 2/100 Hz, and the stimulation intensity varied from 0.1 to 1.0 mA as long as the patients felt comfortable1 hourEntire population: 30 Patients aged 32.87 ± 8.71 years, 60% female
RCT in China, 07/2008 to 09/2009OutpatientNo treatmentReceived no treatment1 hourEntire population: 30 Patients aged 32.87 ± 8.71 years, 60% female
Yarnitsky, 2017137Crossover RCT in Israel, 06/2015 to 03/2016OutpatientActive remote electrical stimulation (pulse width 50 µs)Transcutaneously, at 80-120 Hz frequency, with pulse width of 50 µs for 20 minutes60 daysEntire population: 86 Patients aged 45.9 ± 11.7 years, 80% female
Crossover RCT in Israel, 06/2015 to 03/2016OutpatientActive remote electrical stimulation (pulse width 100 µs)Transcutaneously, at 80-120 Hz frequency, with pulse width of 100 µs for 20 minutes60 daysEntire population: 86 Patients aged 45.9 ± 11.7 years, 80% female
Crossover RCT in Israel, 06/2015 to 03/2016OutpatientActive remote electrical stimulation (pulse width 150 µs)Transcutaneously, at 80-120 Hz frequency, with pulse width of 150 µs for 20 minutes60 daysEntire population: 86 Patients aged 45.9 ± 11.7 years, 80% female
Crossover RCT in Israel, 06/2015 to 03/2016OutpatientActive remote electrical stimulation (pulse width 200 µs)Transcutaneously, at 80-120 Hz frequency, with pulse width of 200 µs for 20 minutes60 daysEntire population: 86 Patients aged 45.9 ± 11.7 years, 80% female
Crossover RCT in Israel, 06/2015 to 03/2016OutpatientSham remote electrical stimulationTranscutaneously, at 0.1 Hz frequency, with pulse width of 45 µs for 20 minutes60 daysEntire population: 86 Patients aged 45.9 ± 11.7 years, 80% female
Yarnitsky, 2019138RCT in United States of America, Israel, 12/17/2017 to 10/07/2018OutpatientRemote electrical neuromodulation-active groupApplied to lateral arm, once for 30 to 45 minutes2 days126 Patients aged 44 ± 12.25 years, 80.9% female, 86.5% While
RCT in United States of America, Israel, 12/17/2017 to 10/07/2018OutpatientSham stimulationApplied to lateral arm, once for 30 to 45 minutes2 days126 Patients aged 42 ± 11.81 years, 80.9% female
Zargaran, 2018139Crossover RCT in Iran 12/2014 to 05/2015OutpatientChamomile oilCutaneous gel, 2mL, twice1 day50 Patients aged 37.94 ± 9.77 years, 86.8% female
Crossover RCT in Iran 12/2014 to 05/2015OutpatientPlaceboCutaneous gel, 2mL, twice1 day50 Patients aged 36.03 ± 8.79 years, 70.5% female
Ziegler, 1994140RCT in United States of AmericaOutpatientDihydroergotamineNasal spray, 0.5 mg (per nostril repeated after 15 minutes), once to twice for 4 hours14 days54Patients aged 39.3 ± 10.5 years, 83.3% female
RCT in United States of AmericaOutpatientPlaceboNasal spray, once to twice for 4 hours14 days58 Patients aged 36.7 ±10.75 years, 75% female

BAP = buccally absorbed prochlorperazine; BMI = body mass index; C = centigrade; cm = centimeter; cc = cubic centimeter; ED = emergency department; Hz = hertz; IV = intravenous; IVP = intravenous prochlorperazine; IM = intramuscular; kHz = kilohertz; g = gram; kg = kilogram; mA = milliampere; µg = microgram; μg/ mL = microgram/milliliter; µs = microsecond; mg = milligram; mg/kg = milligram/kilogram; mg/mL = milligram /milliliter; mL = milliliter; mL/hour = milliliter/hour; ms = millisecond; N/A = not available; NO = nitrous oxide; RCT = randozmized controlled trial s = second; T = temperature;

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