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Droperidol Versus Metoclopramide + Diphenhydramine for the Treatment of Primary Headaches

Not Applicable
Terminated
Conditions
Primary Headaches (Includes Migraines, Tension, Cluster Headaches)
Interventions
Registration Number
NCT01406860
Lead Sponsor
University of Iowa
Brief Summary

The purpose of this study is to determine if droperidol is equally as effective as metoclopramide for treatment of primary headaches in the Emergency Department.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
19
Inclusion Criteria
  • 18 years old to 65 years old, diagnosis of primary headache
Exclusion Criteria
  • Allergy to study medications, pregnant, breast-feeding, prisoners, non-english speaking, not eligible to receive droperidol based on ED protocol (see below), patients in whom head trauma, infection, vascular disorders, and disorders of facial or cranial structures are suspected

ED Droperidol Protocol

Droperidol must NOT be used in patients with any of the following:

  • Known or suspected QT prolongation, including congenital long QT syndrome

  • Cardiac Disease [cardiomyopathy, congestive heart failure, hypertension, ischemic heart disease, myocardial infarction, bradycardia (< 50 bpm)]

  • History of the following:

    • Renal failure
    • Cerebrovascular disease
    • Diabetes or hypoglycemia
    • Alcoholism/alcohol abuse
    • Pituitary insufficiency
    • Hypothyroidism
    • Hypothermia
    • Anorexia
  • Advanced age (>65 yrs)

  • Use of the following medications: digoxin, benzodiazepine, diuretics, IV opiates, or other medications known to prolong the QTc interval.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
DroperidolDroperidol-
Metoclopramide + DiphenhydramineMetoclopramide + diphenhydramine-
Primary Outcome Measures
NameTimeMethod
Pain Scale (Numerical Rating Scale for Pain)Change in pain scores at 60 minutes from baseline as measured on the Numerical Rating Scale for Pain (NRS)

Numerical Rating Scale for Pain on a scale of 0-10 with 10 representing the worst pain

Secondary Outcome Measures
NameTimeMethod
Length of StayParticipants will be followed for the duration of their emergency department visit after the initiation of treatment (Average Length of stay in minutes)
24 Hour Pain Score24 hours after discharge from ED

24 hour pain score (follow-up phone call)

Adverse EffectsFrom the time when the treatment is initiated until the 24 hour follow-up phone survey

Frequency of adverse effects in each arm

Trial Locations

Locations (1)

University of Iowa Hospitals and Clinics

🇺🇸

Iowa City, Iowa, United States

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