Corticosteroids for Acute Migraine in the Emergency Department

Corticosteroids for Acute Migraine. An ED-based, Randomized, Comparative Effectiveness Trial

This is an emergency department based randomized trial in which we compare two different treatment for migraine headache. The goal is to decrease the number of headache days during the week after ED discharge.

Inclusion Criteria:

• Migraine without aura criteria (International Classification of Headache Disorders 3B )
• Headache rated as moderate or severe in intensity

Exclusion Criteria:

• Concern for secondary cause of headache
• Contra-indications to investigational medications