By Lawrence Robbins
This state-of-the-art e-book will conceal a variety of features of headache administration, with a spotlight on tough sufferers. useful, step by step recommendation for treating not easy complications, together with migraine, refractory and cluster complications, could be supplied intimately in addition to easy methods to technique sufferers of other a while and people with mental problems. distinctive and complicated case reports and whole reasons to the big array of medicines can also be featured. Authored by means of one of many prime specialists on refractory complications, complicated Headache administration might be a useful advisor for the resident or clinician and an easy-to-read source for lots of patients.
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Additional info for Advanced Headache Therapy: Outpatient Strategies
Cyclobenzaprine (10 mg) is helpful for sleeping, and it helps some patients with migraine and chronic daily headache. There have been a number of studies on using angiotensin receptor blockers (ARB) and angiotensin-converting enzyme inhibitors (ACEIs) for the prevention of migraine. ARBs are preferred because of minimal side effects. Examples include losartan (Cozaar), olmesartan (Benicar), and candesartan (Atacand). These may be useful for the patient with hypertension and migraine. Side effects include dizziness, among others, but they are usually well tolerated, with no sedation or weight gain.
In the long run, preventive medications are effective for approximately 50 % of patients. The remaining patients try various abortives. As noted, patients should play an active role in medication choice. Preventive medications should be selected based on the patient’s comorbidities, GI system, medication sensitivities, and the like. Fatigue and/or weight gain are major reasons why patients abandon a preventive medication. Headache patients commonly complain of fatigue, and they tend to give up on medications that increase tiredness.
Protriptyline is one of the few older antidepressants that does not cause weight gain. However, anticholinergic side effects are increased with protriptyline; protriptyline is more effective for tension headache than for migraine. Although selective serotonin reuptake inhibitors (SSRIs) are used, they are more effective for anxiety and depression than for migraine. Naproxen is a very useful agent for the treatment of daily headaches, as well as for younger women suffering from menstrual migraine.