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Hemicrania continua responds to cyclooxygenase-2 inhibitors
Mario F P Peres1, Stephen D Silberstein
1Jefferson Headache Center, Department of Neurology, Thomas Jefferson University Hospital, Philadelphia, Pa., USA.
Background:
Hemicrania continua is a primary headache disorder defined by its absolute responsiveness to indomethacin. We report the treatment response to two cyclooxygenase-2 inhibitors, celecoxib and rofecoxib, in a series of patients with hemicrania continua.
Methods:
Fourteen patients were treated, 9 with rofecoxib and 5 with celecoxib.
Results:
Three patients in each group had a complete response to treatment.
Conclusion:
The cyclooxygenase-2 inhibitors may represent an alternative to indomethacin in the treatment of hemicrania continua. Their mechanism of action for this potential indication is unknown.
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