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Primary headaches (not secondary to a life-threatening disease) can be challenging to manage. Remember the following pearls:
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Things that DO NOT work: IV fluids, 5-HT3 Antagonists (aka Zofran), diphenhydramine (aka Benadryl), opioids
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Things that KINDA work: oxygen for all headaches, sphenopalatine ganglion block (4% lido spray)
- Things that REALLY work: ketorolac, metoclopramide, prochlorperazine, triptans and ergots, oxygen for cluster headaches
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Things that PREVENT recurrence: dexamethasone for migraine headaches