Triptans (Imitrex and others) are the drugs of choice to treat migraine, whereas opioids (Vicodin, Norco, and others) are not. Opioids are less effective and have risk of habituation and possibly addiction. Non-neurologists gave triptans to about 20% of their patients with a migraine diagnosis, and 36% received opioids. Ten percent of this group of primary care physicians was responsible for two-thirds of the opioid prescriptions. About 10% of patients on opioids generated almost half of the headache encounters and had 7 or more clinic visits in the 2 years of the study. This study, done at the University of Utah, led to increased teaching of residents and primary care physicians with the goal of reducing use of opioids.
Don’t Take Opioids for Migraine
Posted in Headache Articles