Migraine cocktail

Should be safe to do in office as IM, but check for your local protocol.

Rule out focal deficits. 

Ensure they have a ride home.

  • Compazine/ Prochlorperzine 10 mg IV or IM
  • Toradol 15 to 30 IV or IM
  • Decadron 10
  • Fioricet
  • Benadryl 25 iv or IM

Neuro may use this later –

  • Solumedrol 40 q6. 3 doses. 
  • Valproate 500 Depacon

In NaCl 0.9 100 mL  – Admin over 60 min. Q6h. 3 doses.