| ANALGESIC + BARBITURATE |
| acetaminophen |
DOLGIC PLUS
(Victory Pharma) |
750mg |
Rx |
tabs |
Children: not recommended.
Adults: 1 tab every 4 hrs; max 5 tabs/day. |
| butalbital |
50mg |
| caffeine |
40mg |
| acetaminophen |
ESGIC PLUS
(Mikart) |
500mg |
Rx |
scored tabs; caps |
Children: not recommended.
Adults: 1 cap or tab every 4 hours as needed. |
| butalbital |
50mg |
| caffeine |
40mg |
| acetaminophen |
FIORICET
(Watson) |
325mg |
Rx |
tabs |
Children: not recommended.
Adults: 1–2 tabs or caps every 4 hours as needed; max
6/day. |
| butalbital |
50mg |
| caffeine |
40mg |
| acetaminophen |
PHRENILIN
(Valeant) |
325mg |
Rx |
tabs |
Children: not recommended.
Adults: 1–2 tabs every 4 hours; max 6 tabs daily. |
| butalbital |
50mg |
| ANALGESIC + BARBITURATE + OPIOID |
| acetaminophen |
FIORICET w. CODEINE
(Watson) |
325mg |
CIII |
caps |
Children: not recommended.
Adults: 1–2 tabs or caps every 4 hours as needed; max
6/day. |
| butalbital |
50mg |
| caffeine |
40mg |
| codeine phosphate |
30mg |
| ANALGESIC + SALICYLATE |
| acetaminophen |
EXCEDRIN MIGRAINE
(Novartis Consumer Health) |
250mg |
OTC |
tabs |
Children: not recommended.
Adults: Take with full glass of water. ≥18yrs: 2 tabs every
6 hours as needed; max 8 tabs/day for 2 days. |
| aspirin |
250mg |
| caffeine |
65mg |
| ANALGESIC + SEDATIVE + SYMPATHOMIMETIC |
| acetaminophen |
MIDRIN
(Women First Healthcare) |
325mg |
CIV |
caps |
Children: not recommended.
Adults: Tension: 1–2 caps every 4 hours; max 8 caps/day.
Migraine: 2 caps once then 1 cap every 1 hour; max
5 caps/12 hours. |
| dichloralphenazone |
100mg |
| isometheptene mucate |
65mg |
| ANALGESIC + SYMPATHOMIMETIC |
| acetaminophen |
MIGRATEN
(Azur Pharma) |
325mg |
Rx |
caps |
Children: not recommended.
Adults: Tension: 1–2 caps every 4 hours; max
8 caps/day. Migraine: 2 caps at once, then 1 cap every hour until relieved;
max 5 caps/12 hours. |
| caffeine |
100mg |
| isometheptene mucate |
65mg |
| BARBITURATE + SALICYLATE |
| aspirin |
FIORINAL
(Watson) |
325mg |
CIII |
tabs; caps |
Children: not recommended.
Adults: 1–2 tabs or caps every 4 hours as needed; max
6/day. |
| butalbital |
50mg |
| caffeine |
40mg |
| BARBITURATE + SALICYLATE + OPIOID |
| aspirin |
FIORINAL w. CODEINE
(Watson) |
325mg |
CIII |
caps |
Children: not recommended.
Adults: 1–2 tabs or caps every 4 hours as needed; max
6/day. |
| butalbital |
50mg |
| caffeine |
40mg |
| codeine phosphate |
30mg |
| ERGOT ALKALOID |
| dihydroergotamine mesylate |
D.H.E. 45
(Valeant) |
1mg/mL |
Rx |
IM, IV, or SC inj |
Children: not recommended.
Adults: 1mL IV at 1 hour intervals; max 2 doses/day. Or, 1mL
IM or SC at 1-hour intervals; max 3 doses/day. For all: max 6 doses/week. Do not
use chronically. |
MIGRANAL**
(Valeant) |
4mg/mL |
Rx |
nasal spray |
Children: not recommended.
Adults: 1 spray in each nostril, repeat 15 minutes later; max
6 sprays/24 hrs and 8 sprays/wk. |
| ergotamine tartrate |
(various) |
1mg |
Rx |
tabs |
Children: not recommended.
Adults: 2 tablets at onset of attack, then 1 tablet every
½ hour if needed; max 6 tabs/attack, 10 tabs/week. |
| caffeine |
100mg |
| ergotamine tartrate |
(various) |
2mg |
Rx |
rectal supp |
Children: not recommended.
Adults: 1 supp rectally at onset of attack, then 1 supp after
1 hour if needed; max 2 supps/attack, 5 supps/week. |
| caffeine |
100mg |
| NON-STEROIDAL ANTI-INFLAMMATORY (NSAID) |
| diclofenac potassium |
CAMBIA
(Nautilus) |
50mg |
Rx |
Buffered pwd for oral soln |
Children: <18yrs: not recommended.
Adults: ≥18yrs: mix 1 packet (50mg) with 30–60mL of water only
and drink immediately. |
| ibuprofen |
ADVIL MIGRAINE
(Wyeth Consumer Healthcare) |
200mg |
OTC |
liquid-filled caps |
Children: <18yrs: not recommended.
Adults: ≥18yrs: Usually 400mg once daily. |
MOTRIN MIGRAINE PAIN
(McNeil Consumer & Specialty) |
200mg |
OTC |
caplets |
Children: <18yrs: not recommended.
Adults: ≥18yrs: Usually 200mg–400mg once daily. |
| SELECTIVE 5-HT1B/1D RECEPTOR AGONIST |
| almotriptan (malate) |
AXERT
(Janssen) |
6.25mg, 12.5mg |
Rx |
tabs |
Adults and Children: <12yrs: not recommended. ≥12yrs:
6.25mg or 12.5mg single dose; may repeat once after 2 hours; max 25mg/24hrs. Hepatic or
severe renal impairment (CrCl 10–30mL/minute) or concomitant potent CYP3A4 inhibitors
(eg, ketoconazole): initially 6.25mg once; max 12.5mg/24 hours. The safety of treating
an average of more than 4 headaches over 30 days is not established. |
| eletriptan HBr |
RELPAX
(Pfizer) |
20mg, 40mg |
Rx |
tabs |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 20mg or 40mg once. Reevaluate if no response. May
repeat once after 2 hours; max 80mg/day. The safety of treating an average of more
than 3 headaches in a 30-day period has not been established. |
| frovatriptan (as succinate) |
FROVA
(Endo) |
2.5mg |
Rx |
tabs |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 2.5mg with fluids; may repeat once after 2 hours;
max 7.5mg/24 hours. Reevaluate if no response after 1st dose. The safety of treating
an average of more than 4 headaches in a 30-day period has not been
established. |
| naratriptan HCl |
AMERGE
(GlaxoSmithKline) |
1mg, 2.5mg |
Rx |
tabs |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 1mg or 2.5mg with fluids; may repeat once after
4 hours; max 5mg/24 hours. The safety of treating, on average, more than 4
headaches in a 30-day period has not been established. Mild-to-moderate renal or hepatic
impairment: consider lower initial dose; max 2.5mg/24 hours. |
| rizatriptan (as benzoate) |
MAXALT
(Merck) |
5mg, 10mg |
Rx |
tabs |
Children: <18yrs: not recommended.
Adults: ≥18yrs: Initially 5 or 10mg; may repeat after 2 hrs; max
30mg/day. Concomitant propranolol: use 5mg dose; max 3 doses/day. The safety of
treating, on average, more than 4 headaches in a 30-day period has not been
established. |
MAXALT-MLT*
(Merck) |
5mg, 10mg |
Rx |
ODT |
| sumatriptan (as succinate) |
ALSUMA
(Meridian Med Tech) |
6mg/0.5mL |
Rx |
soln for SC inj |
Children: <18yrs: not recommended.
Adults: ≥18yrs: one (6mg) dose SC to the lateral thigh or upper arm only. Reevaluate if
no response. May repeat after 1 hour; max two (6mg) doses in 24 hours. |
IMITREX INJECTION
(GlaxoSmithKline) |
4mg/0.5mL, 6mg/0.5mL |
Rx |
SC inj |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 6mg SC (may start at lower dose if 6mg not tolerated).
Reevaluate if no response. May repeat after 1 hour; max two 6mg doses in
24 hours. |
IMITREX NASAL SPRAY
(GlaxoSmithKline) |
5mg per spray, 20mg per spray |
Rx |
nasal spray |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 5mg, 10mg, or 20mg once. Reevaluate if no response.
May repeat once after 2hrs; max 40mg/day. The safety of treating an average of more than 4
headaches in a 30-day period has not been established. |
IMITREX TABLETS
(GlaxoSmithKline) |
25mg, 50mg, 100mg |
Rx |
tabs |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 25–100mg once, swallow whole with fluids as
soon as possible after migraine onset; may repeat dose at intervals of at least 2hrs, max
200mg/day; or single-dose tablets up to 100mg/day if injection has been used. Hepatic
dysfunction: max 50mg/dose. The safety of treating an average of more than 4 headaches in a
30-day period has not been established. |
SUMAVEL DOSEPRO
(Zogenix) |
6mg/0.5mL |
Rx |
soln for SC inj |
Children: <18yrs: not recommended.
Adults: ≥18yrs: one DosePro (6mg) SC to the abdomen or thigh only.
Reevaluate if no response. May repeat after 1 hour; max two DosePro (6mg) doses in
24 hours. |
| zolmitriptan |
ZOMIG
(Impax) |
2.5mg+, 5mg |
Rx |
tabs |
Children: <18yrs: not recommended.
Adults: ≥18yrs: Initially 2.5mg or lower once. If headache returns,
may repeat after 2 hrs; max 10mg/day. Reevaluate if no response after 1st dose. The
safety of treating an average of more than 3 headaches in a 30-day period has not been
established. Hepatic impairment: use low dose. ZMT: dissolve on tongue and swallow without
water. |
ZOMIG NASAL SPRAY
(Impax) |
5mg per spray |
Rx |
nasal spray |
Children: <18yrs: not recommended.
Adults: ≥18yrs: 5mg once. If headache returns, may repeat once after
2 hrs; max 10mg/day. Reevaluate if no response after 1st dose. The safety of treating
an average of more than 4 headaches in a 30-day period has not been established. Hepatic
impairment: use low dose oral form. |
ZOMIG-ZMT*
(Impax) |
2.5mg, 5mg |
Rx |
ODT |
Children: <18yrs: not recommended.
Adults: ≥18yrs: Initially 2.5mg or lower once. If headache returns,
may repeat after 2 hrs; max 10mg/day. Reevaluate if no response after 1st dose. The
safety of treating an average of more than 3 headaches in a 30-day period has not been
established. Hepatic impairment: use low dose. ZMT: dissolve on tongue and swallow without
water. |
| SELECTIVE 5-HT1B/1D RECEPTOR AGONIST +
NON-STEROIDAL ANTI-INFLAMMATORY (NSAID) |
| sumatriptan (as succinate) |
TREXIMET
(GlaxoSmithKline) |
85mg |
Rx |
tabs |
Children: not recommended.
Adults: Swallow whole. 1 tab once; may repeat once after
2 hours; max 2 tabs/day. The safety of treating an average of more than 5
migraines in a 30-day period has not been established. |
| naproxen sodium |
500mg |