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Submitted: 24 Feb 2024
Revision: 30 Aug 2025
Accepted: 03 Sep 2025
ePublished: 09 May 2026
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J Res Clin Med. 2026;14: 35274.
doi: 10.34172/jrcm.026.35274
  Abstract View: 43
  PDF Download: 36

Reviews

Propofol and magnesium sulfate for migraine management in emergency department: A systematic review

Seyed Pouya Paknezhad 1 ORCID logo, Zahra Vand Rajabpour 1 ORCID logo, Atefeh Javadikia 2 ORCID logo, Hassan Soleimanpour 3* ORCID logo

1 Emergency and Trauma Care Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Student Research Committee, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
3 Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Hassan Soleimanpour, Email: h.soleimanpour@gmail.com

Abstract

Introduction: Migraine is a prevalent condition that can affect 18% of the population. Propofol and magnesium sulfate can exert a therapeutic potential in pain management in patients with acute migraine attacks.

Methods: A semi-systematic review to investigate the efficacy of these two drugs was conducted. For the search strategy, PubMed, Embase, Google Scholar, and Cochrane Library were systematically searched. Finally, all randomized clinical trials were included.

Results: Eight studies met the criteria for inclusion in our review. Four investigated propofol, and four examined magnesium sulfate. No study compared these two drugs with each other.

Conclusion: Propofol demonstrated promising efficacy for pain control. Findings regarding magnesium sulfate were inconsistent. Overall, both agents appeared safe for administration in this patient population.


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