Wolfson Sensory, Pain and Regeneration Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Cephalalgia. 2024 Aug;44(8):3331024241252666. doi: 10.1177/03331024241252666.
In an effort to improve migraine management around the world, the International Headache Society (IHS) has here developed a list of practical recommendations for the acute pharmacological treatment of migraine. The recommendations are categorized into optimal and essential, in order to provide treatment options for all possible settings, including those with limited access to migraine medications.
An IHS steering committee developed a list of clinical questions based on practical issues in the management of migraine. A selected group of international senior and junior headache experts developed the recommendations, following expert consensus and the review of available national and international headache guidelines and guidance documents. Following the initial search, a bibliography of twenty-one national and international guidelines was created and reviewed by the working group.
A total of seventeen questions addressing different aspects of acute migraine treatment have been outlined. For each of them we provide an optimal recommendation, to be used whenever possible, and an essential recommendation to be used when the optimal level cannot be attained.
Adoption of these international recommendations will improve the quality of acute migraine treatment around the world, even where pharmacological options remain limited.
为了改善全球范围内偏头痛的管理，国际头痛学会（IHS）制定了一系列关于偏头痛急性药物治疗的实用建议。这些建议分为最佳和必要两类，以提供各种可能情况下的治疗选择，包括那些获得偏头痛药物有限的情况。
一个 IHS 指导委员会根据偏头痛管理中的实际问题制定了一系列临床问题清单。一组选定的国际资深和初级头痛专家根据专家共识以及对现有国家和国际头痛指南和指导文件的审查制定了这些建议。在最初的搜索之后，工作组创建并审查了一份包含二十一份国家和国际指南的参考书目。
共概述了十七个关于急性偏头痛治疗不同方面的问题。对于每一个问题，我们提供了一个最佳推荐，尽可能使用；以及一个必要推荐，在无法达到最佳水平时使用。
即使在药物选择仍然有限的情况下，采用这些国际建议将改善全球范围内急性偏头痛治疗的质量。
