When do you use olanzapine for acute migraine treatment?

Although off-label and not included in guidelines, olanzapine can be helpful for migraine attacks in the ER and even for prevention in chronic migraine that has failed all other treatments. 10 mg is usually given IM and 2.5 or 5 mg IV. The MOA is probably as a dopamine antagonist and it is often use...

No, I don't. I only use migraine-specific medications. As far as I am concerned, that is the standard of care. Ergots, triptans, and gepants abortively, and CGRP-antibodies and gepants preventively.