Magazine article Clinical Psychiatry News

Use of Intranasal Lidocaine May Relieve Migraine

Magazine article Clinical Psychiatry News

Use of Intranasal Lidocaine May Relieve Migraine

Article excerpt

SOUTH LAKE TAHOE, CALIF. -- The next time you see a patient with a migraine headache, you might want to try intranasal lidocaine, Dr. John Richards said at an emergency medicine conference sponsored by the University of California, Davis.

"It's a very easy block, and it doesn't involve a needle," said Dr. Richards of the department of emergency medicine at the UC Davis Medical Center, Sacramento. "So it's worth a try."

The literature on lidocaine treatment for migraine is not extensive, and at least one study found it to be of no benefit. But in some studies, lidocaine successfully resolved the migraine in 30%-50% of patients, with a relapse rate of about 20%.

Dr. Richards said he has had good experience with lidocaine. "I've had success with it for migraines, cluster headaches, and just headaches in general," he said.

With cluster headaches, there usually is not complete relief, "but it does help them quite a bit," he said. …

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