Headache Flashcards
What is the abortive treatment for TTH?
- Aspirin or paracetamol
2. NSAIDs
What is the preventative treatment for TTH?
Usually none, but can give tricyclic antidepressants (i.e. aminotriptyline, nortriptyline, dothiepin)
What is the abortive treatment for migraine?
- Aspirin
- NSAIDs
- Triptans
What is the preventative treatment for migraine?
- Venflaxine
- Tricyclic antidepressants (i.e. aminotriptyline, nortriptyline, dothiepin)
- Anti-epileptics: Gabapentin, sodium valproate, topiramate
- Propanolol, candesartan
If a woman of child-bearing age has migraine, which class of drugs should be avoided?
Anti-epileptics
If a woman has migraine with aura, what OTC drug should be avoided?
OCP
How is a pregnant woman with migraine treated?
Abortive: Paracetamol
Preventative: Propanolol, aminotriptyline
What is the abortive treatment for cluster headache?
- Subcutaneous sulmatriptan or nasal zolmatriptain
3. 100% oxygen (mask)
What is the abortive treatment for cluster headache bouts?
- Occipital depomedrone injection
Or - Course of oral prednisolone
What is the preventative treatment for cluster headache ?
- Verapamil
- Methylsergide (retroperitoneal fibrosis)
- Lithium
- Topiramate
What is the abortive treatment for paroxysmal hemicrania?
No treatment
What is the preventative treatment for paroxysmal hemicrania?
- Indometacin
2. Others: COX-II inhibitors, topiramate
What is the abortive treatment for SUNCT/SUNA?
No treatment
What is the preventative treatment for SUNCT/SUNA?
- Gabapentin
- Carbamazepine/Oxcarbazepine
- Topiramate
- Lamotrigine
What is the abortive treatment for trigeminal neuralgia?
No abortive treatment.