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hi everybody today Dr Daniel Iamp;#39;ll be talking about nerch ODT for acute and preventive treatment of migraines migraine is a chronic neurological problem associated with the recurrent moderate to severe one-sided headaches the need to be down nausea and vomiting and sensitivity to light and Sound by definition from the international classication of headache disorders three migraine can last from 4 to 72 hours during the migraine process three inflammatory neurochemicals are released by the tral nerve and itamp;#39;s gangling these neurochemicals are neuron and a substance p and calcitonin Gene related peptide referred to as cgrp four types of injectable preventive medicines are available which block the effect of cgrp three of these drugs are given by subcutaneous injection while the fourth is given by IV once a month the current best drugs for cute therapy of migraine are one of the seven Tryin which are all generic now and come with oral subcutaneous and nasal