HEADACHE & treatments

1. Headache, also known as cephalagia , is the symptom of pain anywhere
in the region of the head or neck. It occurs in migranes, tension-type
headaches and cluster headaches.
HEADACHE
CATEGORIES
Migrane without
Aura(common type)
Migrane with aura
(classic type)
Tension type
Headache
Cluster Headache
Rebound Headache
Sinus Headache
LOCATION
Usually one side of the head. Can
be Bi frontal(2sided)at forehead.
Usually one side of the head. Can
be Bi frontal(2sided)at forehead.
Commonly found on both sides of
head.
Strictly one sided,very severe pain
localized around eye.
Location varies but often found on
top of head.
Most often in facial and cheek area.
SEVERITY &
ASSOCIATED FEATURES
Moderate to severe throbbing pain.Commonly
associated with intolerance to light and sound,
Nausea & vomitting sometimes.
Moderate to severe throbbing pain.Commonly
associated with intolerance to light and sound,
Nausea & vomitting sometimes.
Pressure like squeezing pain,mild to moderate
severity. Not worsened by activity.
Associated with droopy eyelid,red watery eye
& stuffy nose.
Mild to moderate in severity.
Acute sharp pain is present along with fever
Like symptoms.
FREQUENCY SPECIAL
&DURATION NOTES
Typically lasts from 75% of all sufferers
4 hrs to 72 hrs in length. are typically women
Frequency is variable.
Aura starts 5 to 10 mins Aura usually consists of
Before migrane. Black visual spots
(flickering), zig zag lines
or tingling sensation.
Frequency and duration Extremely common
may vary
Usually lasts from 15-180 Can be aborted by oxygen
mins .1-8 attacks/day
Variable but often daily Overuse of over the
In occurrence. Sometimes counter migrane drugs.
2-3 Times/week
Quite rare with variable Migrane often
Frequency misunderstood
for sinus headache.
Abortive
Medication
Preventive
Medication
1. TRYPTANS – Often the first prescription choice eg:
SUMATRIPTAN, ZOLMITRIPTAN, ALMOTRIPTAN, ELETRIPTAN
2. NSAIDS – Ibuprofen, Naproxen , Acetaminophen
1. Anti- seizure medication- Topiramate , Gabapentin
2. Beta-blockers – Timolol , Propranolol, Nadolol
3. Calcium Channel Blocker- Verapamil ,Nefedipine,Amlodipine
4. Antidepressants- Amitryptyline , Doxepin
Treatment