Transnasal Cooling for Migraine

Exclusion Criteria

• •1. has difficulty distinguishing his or her migraine attacks from tension-type headaches
• •2. Patient has uncontrolled hypertension.
• •3. Patient has a fever (≥38.3C / 101F).
• •4. Patient has used opioid medication or barbiturates in the past month.
• •5. Patient has Medication Overuse Headache (MOH), New Daily Persistent Headache (NDPH) or Chronic Tension Type Headache (CTTH).
• •6. Patient has 15 or more headache days per month.
• •7. Patient has used acute treatment(s) for migraine in the 48 hours preceding treatment i.e. over-the-counter (OTC) medications, prescription medications, or medical device).
• •8. Patient has received Botox treatment, supraorbital or occipital nerve blocks in the last 4 weeks.
• •9. Intolerance to intranasal neurostimulation or sensory processing disorder that makes the treatment not applicable.
• •10. Recurrent epistaxis or chronic rhinosinusitis.
• •11. Recent facial trauma, sinus or intranasal surgery within the last 4 months.
• •12. Known or suspected pregnancy.
• •13. Unable to fully understand the consent process and provide informed consent due to either language barriers or mental capacity.