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Do urgent care centers use optimal medications for acute migraine?

Key clinical point: Urgent care centers may not use optimal medications for the management of acute migraine attacks, according to a review of data from two centers.

Major finding: Of three recommended acute migraine medications, only intravenous metoclopramide was in the urgent care center pharmacy, and only 12.3% of patients with migraine received this drug at their visit. Less than half of patients with recorded nausea or vomiting (46.2%) received an antiemetic.

Study details: A retrospective chart review that assessed migraine management at two urgent care centers in New York. Of more than 32,000 urgent care visits during the study period, 78 patients received a migraine diagnosis.

Disclosures: One of the authors is the head of the NYU Langone Health Urgent Care Centers. Another author has received grant support, honoraria, or travel funds from the National Institutes of Health, the American Academy of Neurology, the American Brain Foundation, the National Multiple Sclerosis Society, the National Headache Foundation, the American Headache Society, Barnard College, and NYU and is associate editor of Headache.


Minen MT et al. Headache. 2020;60(3):542-52.