Lawrence D. Robbins's Management of Headache and Headache Medications PDF
By Lawrence D. Robbins
With complete revisions and updates, plus new chapters on herbs and supplements, "triptans," headache in the course of breast feeding, menstrual migraine, opiate abuse, cervicogenic factors of headache, and workout and sexual headache, this publication provides an entire and in-depth variety of data for basic care physicians and neurologists.
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Additional resources for Management of Headache and Headache Medications
However, each of these has specific uses, as is explained below. The generic butalbital compounds are best avoided, as they are not as effective as the brand name drugs in this dass. Fiorinal Fiorinal contains SOmg of butalbital, 32Smg of aspirin, and 40mg of caffeine. The sedative effect of butalbital is usuaIly offset by the caffeine. Fiorinal is the most effective of the butalbital compounds, because aspirin is more effective than acetaminophen. Many patients experience abrief "high" or euphoria that can lead to addiction.
Imitrex is also extremely effective in cluster headache, and approximately 80% of cluster patients receive excellent relief from Imitrex. The longer acting triptans, such as Amerge, may be better for prevention of headache. None of the triptans has indications, as yet, for daily use as preventives. 1t has relatively few side effects compared to the other triptans. Amerge takes longer to become effective but is very long-acting. Most patients only require one per day. S-mg, which is actually a low dose.
Very sedating. Low incidence of extrapyramidal side effects. Available as pills, suppositories, and oral lozenges (formulated by compounding pharmacists). Used for children and adults. 2. Prochlorperazine (Compazine): Very effective but high incidence of extrapyramidal side effects. Anxiety and agitation are common. Given intravenously, it may stop the migraine pain as weil as the nausea. PiIIs, long acting spansules, and suppositories are available. 3. Metoclopramide (Reglan): Mild but weil tolerated, commonly used prior to IV DHE.