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Phase 4 N=63 Randomized Double-blind Prevention

Oral Dexamethasone for Treatment of Migraine

Migraine

Enrolled (actual)
63
Serious AEs
0.0%
Results posted
Apr 2015
Primary outcome: Primary: Proportion of Patients Who Were Discharged Pain Free That Have a Recurrence of Headache Within 48 Hours. — 13; 14 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Dexamethasone (Drug); placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
The Joseph Epstein Centre for Emergency Medicine Research
Primary completion
Dec 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
Proportion of Patients Who Were Discharged Pain Free That Have a Recurrence of Headache Within 48 Hours.
13; 14
PRIMARY
Proportion of Patients With Recurrent Headache Within 48 Hours.
12; 8
SECONDARY
Proportion of Patients Requiring Additional Analgesia Within 48 Hours for Headache.
19; 18

Summary

The aim of this project is to determine if a single dose of oral dexamethasone at the time of discharge from the emergency department (ED) [after successful treatment] prevents rebound headache. Hypothesis: That single dose oral dexamethasone 8mg reduces the proportion of patients who suffer rebound headache after treatment for migraine in the ED.

Eligibility Criteria

Inclusion Criteria

  • Consenting adult patients [age >17 years] with physician-diagnosed migraine treated in the ED who are willing and able to be contacted between 48-72 hours after discharge for follow-up

Exclusion Criteria

  • Failure to consent
  • Pregnancy
  • Allergy to study medication
  • Findings inconsistent with migraine
  • Patients requiring hospital admission for further investigation and treatment
  • Patients with active peptic ulcer disease
  • Patients with Type 1 diabetes
  • Patients taking corticosteroids for another condition within 7 days
  • Active systemic fungal infection
  • Patients previously enrolled in the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00216736). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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