Severe, prolonged migraines don’t always respond to medication. Advanced IV therapies may help interrupt the cycle and provide relief.
Our IV-based migraine rescue treatments, including advanced infusion therapies, are designed to provide rapid relief when standard medications fail.
Chronic migraines treatment shifts from acute rescue to prophylactic reset. Migraines are complex neurological events involving:
Once a migraine cycle becomes established, especially in chronic or treatment-resistant cases, it may require more than oral triptans or standard rescue medications.
| Neither Ketamine or DHE | Ketamine Only + | DHE Only | DHE + Ketamine | Sphenopalatine Block |
|---|---|---|---|---|
|
•Intravenous (IV)
hydration •IV Magnesium •IV Valproic acid •IV Anti-nausea medicines •IV steroids •Non-opiate IV pain medicines |
•Intravenous (IV)
hydration •IV Magnesium •IV Anti-nausea medicines •IV steroids •Non-opiate IV pain medicines |
•Intravenous (IV)
hydration •IV Magnesium •IV Anti-nausea medicines •IV steroids •Non-opiate IV pain medicines |
•Intravenous (IV)
hydration •IV Magnesium •IV Anti-nausea medicines •IV steroids •Non-opiate IV pain medicines |
This is a procedure
that can block nerve impulses responsible for brain blood vessel dilation and help reduce pain quickly. |
|
This protocol is ideal if: Client not off “Triptans” for >24hrs (Cannot have DHE) Ketamine & associated sedation are not wanted. |
This Protocol is ideal if: Client not off “Triptans” for >24hrs & is willing to have ketamine and the sedation that accompanies it. |
This Protocol is ideal if: Non-sedative option is wanted. Client can be available 2-3 days with gaps of 6hrs between infusions each day. The multi-day DHE protocol acts as a “bridge therapy.” It provides powerful pain relief and suppresses the withdrawal headache while the patient’s down-regulated receptors have time to recover and reset. It’s possible a client’s standard oral preventative and abortive medications can actually start working again. |
This protocol is ideal as it targets central pain windup as well blood vessel constriction known to reduce headache severity. |
This procedure
involves instilling lidocaine solution into the back of the nose very near the sphenopalatine ganglion and slowing nerve transmission. |
Dihydroergotamine (DHE) has been used for decades in the treatment of acute and refractory migraine.
Administered intravenously in a structured clinical setting, DHE works by:
DHE infusion therapy is often considered for:
How These Treatments Work
The right treatment depends on your symptoms, history, and clinical evaluation.
Because migraine infusion therapy involves potent medications, treatment is conducted in a medically supervised setting.
Before treatment, we evaluate:
DHE is not appropriate for everyone. Screening is essential.
Ketamine or DHE may be considered for:
Acute migraine attacks
Chronic migraines
Status migrainosus (multi-day migraines)
Migraines not responding to standard rescue medications
Consult with us to determine which treatment would be best in your situation.
With ketamine, it’s mostly a maintenance treatment. Many patients experience improvement during or shortly after infusion.
DHE is more commonly used in migraine rescue situations, and is not sedating.
Yes. Ketamine is commonly used as a rescue treatment for ongoing migraine attacks.
Ketamine works centrally on pain signaling rather than vascular constriction, making it effective when triptans fail.
Not at this time. We do offer flexible monthly payment options through Advance Care or Wisetack.
Yes. Ketamine is often used for status migrainosus, when migraines persist for days.
For acute migraine attacks, DHE may be more suitable for immediate relief. Specific criteria apply. Consult us to determine which would be right for you.
If migraines are severe, prolonged, or no longer responding to medication, IV ketamine therapy or DHE may help provide relief or rescue.
Southern California Infusion Therapy offers the latest in innovative new treatments for chronic pain and mood disorders such as depression, anxiety, PTSD and OCD.
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