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Treatment of headache
1Diamond Headache Clinic, Chicago, IL 60625.
The Clinical Journal of Pain
|January 1, 1989
Summary
Headache management includes drug and non-drug therapies for acute attacks and prevention. Effective treatments for migraine and cluster headaches involve various pharmacologic agents to reduce pain and frequency.
Area of Science:
- Neurology
- Clinical Pharmacology
Background:
- Headache is a prevalent clinical complaint, with chronic headaches affecting millions.
- Migraine management requires both acute (abortive) and preventive (prophylactic) strategies.
Observation:
- Abortive migraine drugs include ergotamine tartrate and ketoprofen.
- Prophylactic migraine treatments often involve beta-blockers (e.g., propranolol), NSAIDs (e.g., ketoprofen), and calcium-channel blockers (e.g., verapamil).
Findings:
- For cluster headaches, methysergide and corticosteroids are primary treatments.
- Chronic cluster headache may respond to lithium carbonate, verapamil, and ketoprofen.
Implications:
- Diverse pharmacologic options exist for managing different headache types.
- Tailoring treatment based on headache classification and patient response is crucial for effective pain management.