Meta-Analysis
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Methodol. Jul 20, 2022; 12(4): 319-330
Published online Jul 20, 2022. doi: 10.5662/wjm.v12.i4.319
Pain reduction and adverse effects of intravenous metoclopramide for acute migraine attack: A systematic review and meta-analysis of randomized-controlled trials
Nat Ungrungseesopon, Wachira Wongtanasarasin
Nat Ungrungseesopon, Wachira Wongtanasarasin, Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Wachira Wongtanasarasin, Department of Emergency Medicine, UC Davis School of Medicine, Sacramento, CA 95817, USA
Author contributions: Ungrungseesopon N and Wongtanasarasin W designed the protocol, contributed to data collection and analysis, and wrote the first draft of the manuscript; Wongtanasarasin W edited and revised the manuscript; both authors read and critically reviewed the final version of the manuscript.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2021 Checklist, and the manuscript was prepared and revised according to the PRISMA 2021 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wachira Wongtanasarasin, MD, Attending Doctor, Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, 110 Intavarorot Street, Sriphum, Chiang Mai 50200, Thailand. wachir_w@hotmail.com
Received: February 4, 2022
Peer-review started: February 4, 2022
First decision: April 11, 2022
Revised: April 26, 2022
Accepted: July 11, 2022
Article in press: July 11, 2022
Published online: July 20, 2022
Core Tip

Core Tip: Metoclopramide may be used to treat people suffering from acute migraine. However, no comprehensive investigation on this issue has been recorded. We conducted an up-to-date systematic review and meta-analysis of the clinical efficacy of metoclopramide during an acute migraine attack. This study comprised 14 studies and found that metoclopramide was more effective than placebo in treating migraine at the emergency department. When compared to other medications, however, no substantial advantage was detected. More study is needed to enhance migraine therapy in acute care settings effectively.