Comparison of Oral Paracetamol and Zolmitriptan Efficacy in the Treatment of Acute Migraine in Emergency Department

* This is prospective, randomized, controlled research to compare the efficacy of these two drugs in emergancy department. * The clinical trial was conducted in the ED of Pamukkale University Medical Faculty Hospital. * Study personnel (emergency physicians and nurses) were trained before the study. * When oral drugs (paracetamol, zolmitriptan was being recommended, an eligibility checklist was completed by the attending physician. * If there were no exclusion criteria, written informed consent was obtained and baseline information, including initial headache pain score ratings with VAS and NRS were recorded. * The need for identification and enrollment of participants by staff with conflicting work pressures resulted in recruitment of a convenience sample of patients. * All patients eligible for the study were randomized to one of two groups: * First Group: paracetamol 1000 mg was given oral to 100 patients, * Second Group: Zolmitriptan 2,5 mg was given oral to 100 patients which determined to be applied as a group. * Drugs were prepared according to the computer-generated random number sequence to assign treatment allocations. * The allocation list was kept by the emergency nurse. Patients received the paracetamol, zolmitriptan medication schemes according to their random allocations. * After enrollment and recording of baseline information, the next numbered study drug was obtained, and administered as oral. * Randomization was achieved by using computer software to generate random numbers. During the intervention, participants were monitored by an oxygen saturation (SpO2) monitor, an automatic sphygmomanometer (blood pressure), and a rhythm monitor (heart rate and rhythms) * One researcher blinded to patient allocation observed the whole procedure and recorded the Headache scores. * Headache scores were recorded at 0, 15, 30, and 60 min on a VAS of 1 to 100 mm and NRS of 1 to 10. Patients with nausea are treated with 15 minutes of 10 mg metoclorpramide slow infusion in 150 cc saline solution. * Rescue medication (1 mcg/kg fentanyl ) was given İntravenöz to patients if pain VAS scores ≥ 50 mm in 60 minutes after study drug administration. * All other medications required during the study also were recorded. * During the study, pulse rate, systolic blood pressure, diastolic blood pressure, respiration rate and oxygen saturation (SpO2) were recorded at baseline (0 min), 15, 30, and 60 min.