Managing acute vestibular migraine attacks during pregnancy requires analgesic selection that accounts for the trimester. Treatment options that are appropriate in early pregnancy are subject to restrictions later in gestation.
This protocol applies to pregnant patients experiencing acute vestibular migraine attacks. The stage of pregnancy is a key determinant of which analgesic options are appropriate and which must be avoided.
Acute attacks can be managed with specific analgesic agents that are permissible during the first and second trimester. The full protocol defines the primary option, when it must be avoided, and what to use instead under those circumstances.