Steroid taper for migraine

For many patients, steroids will produce sufficient improvements that no further immunomodulatory therapy is required. (Prophylactic antibiotics should be considered.) However, if the patient flares during the steroid taper, strongly consider adjunct therapy including IVIG and plasmapheresis. If the patient was successfully treated and has been weaned off of steroids, future exacerbations may respond to prompt treatment with a short course of prednisone (1 mg/kg/d for 5 days). Clinicians have reported good success with this approach, particularly during the H1N1 epidemic when many children with PANDAS had influenza-related exacerbations. Those patients were reported to respond to a treatment regimen that included 2 days of Tamiflu prior to (and during) the 5 days of steroids

Steroid taper for migraine

steroid taper for migraine

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