Do you typically give GI prophylaxis when providing patients with steroid taper for status migrainosus?  

I usually do a 3-6 day taper with prednisone, dexamethasone, or medrol dose pack for status migrainous. Occasionally, I have done a 12-day taper if the status migrainous is prolonged. I have not used GI prophylaxis.

The corticosteroid taper I typically employ for status migrainosus is a three-day course of prednisone: 15 mg qid x 1 day, 10 mg qid x1 day, and 5 mg qid x 1 day. I have patients take it with meals and at bedtime with a snack to protect the stomach. Such a short course is usually tolerated well with...