By Lawrence Robbins
This state of the art publication will hide numerous points of headache administration, with a spotlight on tough sufferers. functional, step by step recommendation for treating hard complications, together with migraine, refractory and cluster complications, might be supplied intimately in addition to tips to technique sufferers of alternative a while and people with mental problems. designated and intricate case reviews and whole factors to the enormous array of medicines can also be featured. Authored by means of one of many prime specialists on refractory complications, complicated Headache administration may be a useful consultant for the resident or clinician and an easy-to-read source for lots of patients.
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Extra resources for Advanced Headache Therapy: Outpatient Strategies
Tramadol is a mild opioid. Tramadol ER may be useful if patients can limit use to 200 mg/day, or less. Any medication used abortively for CDH should be strictly limited to two per day. Abortives and Rebound Headache (Medication Overuse Headache) The abortives for CM are basically the same as for episodic migraine. We do not want to use triptans on a daily basis, except in unusual circumstances. Rebound headache is always a consideration and is a remarkably complex subject. The term medication overuse headache has been overused.
However, modafinil or Nuvigil do improve quality of life for many headache patients. Outside of Medicine It does take a village to treat a severe pain patient. We want to seek treatments outside of the pharmacy. We need to promote active coping. We must have other modalities involved. Pharmacotherapy may be important, but certainly we want to try everything else, whether it is physical therapy, yoga, biofeedback, etc. Psychotherapy is often important and I strongly recommend it as part of treatment.
Prodrin is an interesting product, with a combination of a small amount (20 mg) of caffeine, acetaminophen, and a mild vasoconstrictor. For those intermediate headaches a reasonable choice, and is not addicting. Prodrin is similar to Midrin (generic Midrin is available), without the sedative in Midrin. Transcranial magnetic stimulation (TMS) is a safe, noninvasive abortive treatment. Patients may use the stimulator at home; it only takes a few minutes. Over the coming few years, TMS will achieve a larger role as an abortive.
Advanced Headache Therapy: Outpatient Strategies by Lawrence Robbins