Chronic Headaches. David R. Greeley, MD, FAAN Northwest Neurological, PLLC October 23, 2015
|
|
|
- Gladys Green
- 8 years ago
- Views:
Transcription
1 s David R. Greeley, MD, FAAN Northwest Neurological, PLLC October 23, 2015
2 Why is Headache Important? 36,000,000 people have migraine - more than asthma and diabetes combined 13,000,000 have chronic daily headache 4,000,000 have > 15 migraines per month
3 Common family history of: - chronic pain - chronic headache - psychiatric concerns - abuse Learned behavior on medication use/abuse
4 The Cycle chronic pain poor sleep depression
5 Adverse Childhood Experiences
6 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
7 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
8 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
9 Exercise - regular, not excessive - simple, cheap and enjoyable - Yoga, T ai Chi, water aerobics...
10 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
11 Sleep hygiene - sleep consolidation - avoidance of stimulants - regular and consistent behavior - light box - overnight oximetry - Belsomra
12 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
13 Physical Modalities - physical therapy - chiropractic - therapeutic massage - acupuncture - craniosacral therapy - Rolfing / Structural Integration
14 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
15 Behavioral / Psychological / Psychiatric - Counseling - Listening - Support - Biofeedback / Meditation - Limited medicines
16 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
17 - a multifactorial approach - A contract for therapy - Education - Exercise - Sleep - Physical modalities - Psychiatric management - Avoidance of ER s and Urgent Care - Dietary changes - Medication
18 Dietary changes - hydration -- half your weight in oz/d - eating healthy foods - supplements as necessary -? allergies -- IgG from US Biotek - elimination diets - gluten-free - Naturopathic medicine
19 US Biotek Most common IgG markers in migraine patients: dairy and chicken egg In one study dietary elimination of these two improved migraine by >80% in >80% of patients
20 Rx -- acute care medications - steroid tapers - trigger point injections - Midrin (isometheptene mucate, dichloralphenazone and acetaminophen) - triptans - opioids
21 Rx -- chronic preventive medications - AED s - Tricyclics - Beta Blockers - Calcium Channel Blockers - others - research
22 AED s (anti-epileptic drugs) - topiramate (Topamax ) - divalproex (Depakote ) - lamotrigine (Lamictal ) - gabapentin (Neurontin ) - pregabalin (Lyrica )
23 TCA s (tricyclic antidepressants) - amitriptyline - imitriptyline - notriptyline - despiramine
24 Beta Blockers - propranolol - timolol - atenolol - metoprolol - nadolol
25 Calcium Channel Blockers - verapamil - diltiazem - amlodipine - nimodipine
26 Non-Prescription Agents Migrelief Petadolex Gliacin Zira Nourished Mind turmeric melatonin
27 Other Rx for Headache ACE inhibitors acetazolamide angiotensin II receptor antagonists (ARBs candesartan) clonidine indomethacin Namenda neuroleptics opioids oxytocin prazosin SSRI/SNRI
28 Botox in Migraine Botox has been used for neurological diseases for >20 years Treatment for spasticity led to: - improvement in hyperhidrosis Treatment for blepharospasm led to improvement in: - wrinkles - migraine
29 Botox in Migraine FDA-approved protocol 80+% reduction in headache 31 injections x5 units every weeks: - 7: corrugator, procerus, frontalis - 8: temporalis - 6: occipitalis - 4: paracervical - 6: trapezius
30 Calcitonin Gene-Related Peptide Member of the calcitonin family α and β forms 37 amino acids derived from cell bodies of spinal cord motor neurons helps with regeneration derived from dorsal root ganglia linked to transmission of pain derived from trigeminal ganglion involved in migraine involved in cardiovascular homeostasis
31 CGRP in Migraine Meningeal nociceptors from the trigeminal ganglion release CGRP CGRP binds to CGRP receptors on meningeal vessels potent neurogenic vasodilator Triptans block CGRP acutely Botox prevents release of CGRP by cleavage of SNAP-25 protein monoclonal antibodies block CGRP after monthly infusion
32 CGRP Research Phase III study 825 patients nationwide Northwest Neurological is local site Patients with acute and chronic migraine Once a month infusion vs placebo Beginning enrollment in November 2015
33 Why is Headache Important? 36,000,000 people have migraine - more than asthma and diabetes combined 13,000,000 have chronic daily headache 4,000,000 have > 15 migraines per month
34 s QUESTIONS? David R. Greeley, MD Northwest Neurological, PLLC
35 Northwest Neurological, PLLC Jason Aldred, MD Anne-Marie Bergeleen, ARNP David Duba, MD Jeff Emery, DO Tim Gilreath, LMP David Greeley, MD Jamie Mark, ARNP
Botulinum toxin in the treatment of chronic migraine. Gregory P. Hanes, MD Neuroscience Summit 5/14/15
Botulinum toxin in the treatment of chronic migraine Gregory P. Hanes, MD Neuroscience Summit 5/14/15 Primary Headache Disorders: Frequency Classification After Secondary Causes Are Ruled Out Short-Duration
Sporadic attacks of severe tension-type headaches may respond to analgesics.
MEDICATIONS While we are big advocates of non-drug treatments, many people do require the use of medications to control headaches. Headache medications are divided into two categories. Abortive drugs are
8/23/2015 A PRACTICAL OPTOMETRIC HEADACHE APPROACH A PRACTICAL OPTOMETRIC HEADACHE APPROACH A PRACTICAL OPTOMETRIC HEADACHE APPROACH
8/23/2015 A Practical Optometric Approach To Headaches Leonid Skorin, Jr., OD, DO, MS, FAAO, FAOCO Consultant, Department of Surgery Community Division of Ophthalmology Mayo Clinic Health System in Albert
Review for NHS Surrey Prescribing Clinical Network. Treatment: Botox for chronic migraine. Prepared by: Victoria Overland
Review for NHS Surrey Prescribing Clinical Network Treatment: Botox for chronic migraine Prepared by: Victoria Overland Date: To be considered at September 2012 PCN meeting 1. Purpose of the Review NICE
Post Traumatic and other Headache Syndromes. Danielle L. Erb, MD Brain Rehabilitation Medicine, LLC Brain Injury Rehab Center, PRA
Post Traumatic and other Headache Syndromes Danielle L. Erb, MD Brain Rehabilitation Medicine, LLC Brain Injury Rehab Center, PRA Over 45 million Americans have chronic, recurring headaches 62% of these
Tension-type headache Non-pharmacological and pharmacological treatment
Danish Headache Center Tension-type headache Non-pharmacological and pharmacological treatment Lars Bendtsen Associate professor, MD, PhD, Dr Med Sci Danish Headache Center, Department of Neurology Glostrup
Christy M. Jackson, MD Director, Dalessio Headache Center Scripps Clinic, La Jolla
Christy M. Jackson, MD Director, Dalessio Headache Center Scripps Clinic, La Jolla Company Nature of Affiliation Unlabeled Product Usage Allergan Speaker None 4 Primary Headache Categories 8 Secondary
Drug Treatment for Weight Loss: New Advances
Drug Treatment for Weight Loss: New Advances William G. Haynes FRCP MD Professor of Internal Medicine Divisions of Endocrinology and Cardiovascular Medicine University of Iowa Outline Why should we use
Headaches and Kids. Jennifer Bickel, MD Assistant Professor of Neurology Co-Director of Headache Clinic Children s Mercy Hospital
Headaches and Kids Jennifer Bickel, MD Assistant Professor of Neurology Co-Director of Headache Clinic Children s Mercy Hospital Overview Headache classifications and diagnosis Address common headache
HEADACHES IN CHILDREN AND ADOLESCENTS. Brian D. Ryals, M.D.
HEADACHES IN CHILDREN AND ADOLESCENTS Brian D. Ryals, M.D. Frequency and Type of Headaches in Schoolchildren 8993 children age 7-15 in Sweden Migraine in 4% Frequent Nonmigrainous in 7% Infrequent Nonmigrainous
Measuring Generic Efficiency in Part D
Measuring in Part D Rates among Medicare Part D Generic efficiency rate is a measurement of the total number of prescrip=ons filled as a generic for products with a direct generic subs=tute within a therapeu=c
Emergency and inpatient treatment of migraine: An American Headache Society
Emergency and inpatient treatment of migraine: An American Headache Society survey. The objective of this study was to determine the practice preferences of AHS members for acute migraine treatment in
How To Treat Pain With Pain Management
SUTTER PHYSICIANS ALLIANCE (SPA) 2800 L Street, 7 th Floor Sacramento, CA 95816 SPA PCP Treatment & Referral Guidelines Pain Management Developed June 1, 2003 Revised - (Format Revisions) November 13,
NAME Date Headache Questionnaire
NAME DATE Headache Questionnaire DIRECTIONS: Please answer all questions to the best of your ability 1. What is your main headache-related problem: (check only one) a. Headaches b. Headaches and neck pain
An impressive arsenal of medications and
COMMON PROPHYLACTIC PRACTICES FOR CHRONIC DAILY HEADACHE * John F. Rothrock, MD ABSTRACT A variety of medications and treatment interventions, including antiepileptic drugs, tricyclic antidepressants,
Tension-type headache Non-pharmacological and pharmacological treatment
Danish Headache Center Tension-type headache Non-pharmacological and pharmacological treatment Lars Bendtsen Associate professor, MD, PhD, Dr Med Sci Danish Headache Center, Department of Neurology Glostrup
11/18/2015. Neurology Update Migraine Headaches. Disclosure Statement. Objectives. Diagnosis of Migraine. Acute Migraine Treatment
Disclosure Statement Neurology Update Migraine Headaches Ralph T. Dunnigan, M.D. Mid Dakota Clinic Bismarck ND DISCLOSURE OF CONFLICT OF INTEREST A commercial interest is any entity producing, marketing,
Whiplash and Cervical Spine Disorders: Evaluation and Management
Whiplash and Cervical Spine Disorders: Evaluation and Management Dr. Corrie Graboski Definition by Quebec Task Force Pain Generators an acceleration-deceleration mechanism of energy transfer to the neck
Integrative Therapies and Preconception Health. Debbie Ringdahl DNP, RN, CNM
Integrative Therapies and Preconception Health Debbie Ringdahl DNP, RN, CNM Definitions Preconception Health primary care? CAM complementary (together with) and alternative medicine (in place of) Integrative
WAT ALS HOOFDPIJN CHRONISCH WORDT? Prof Jan Versijpt, MD PhD Kliniek voor Hoofd- en Aangezichtspijn Neurologie, UZ Brussel
WAT ALS HOOFDPIJN CHRONISCH WORDT? Prof Jan Versijpt, MD PhD Kliniek voor Hoofd- en Aangezichtspijn Neurologie, UZ Brussel Stovner, IHC 2009 New daily persistent headache Primair = dagelijkse and continue
MIGRAINE. Denise Cambier M.D. Delaware Neurology, Ohio Health March 2013
MIGRAINE Denise Cambier M.D. Delaware Neurology, Ohio Health March 2013 HISTORY: Graham and Wolff 1938: decreased amplitude of arterial pulsations coincided with reduction of headache with IV ergotamine.
Many people with MS use some form of conventional medical treatment, and many people also use complementary and alternative medicine (CAM).
Complementary and alternative medicine (CAM) CAM therapies can generally be divided into the following categories: Biologically based therapies (eg, dietary supplements, diets, bee venom therapy, hyperbaric
Welcome to the program!
Calgary Headache Assessment & Management Program (CHAMP) EDUCATION SESSION Welcome to the program! Why is this Session Mandatory? Provide headache management information and orientation to the Champ program
Drug Class Review Neuropathic Pain
Drug Class Review Neuropathic Pain Final Update 1 Report June 2011 The Agency for Healthcare Research and Quality has not yet seen or approved this report The purpose of the is to summarize key information
Post-Concussive Headaches and Dizziness Louise M. Klebanoff, MD
Post-Concussive Headaches and Dizziness Louise M. Klebanoff, MD Associate Professor and Vice Chairman for Operations Chief, General Neurology Department of Neurology Disclosures: None Introduction: Headaches
New Treatments. For Bipolar Disorder. Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine
New Treatments For Bipolar Disorder Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine Abbott Laboratories AstraZeneca Bristol-Myers Squibb Corcept
Is All Headache Pain The Same? Diagnostic and Treatment Pearls
Is All Headache Pain The Same? Diagnostic and Treatment Pearls Director, Dalessio Headache Center Scripps Clinic International Classification of Headache Disorders Second Edition Jan 2004 4 Primary Headache
Guidance for Industry Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims
Guidance for Industry Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research
What alternatives are there to the use of opioid analgesics in the treatment of chronic pain in light of existing evidence and its limitations?
What alternatives are there to the use of opioid analgesics in the treatment of chronic pain in light of existing evidence and its limitations? Michael C. Rowbotham, MD Scientific Director California Pacific
Propranolol 80 Mg Twice A Day
Propranolol 80 Mg Twice A Day generic drug propranolol apo-propranolol 20 mg there generic propranolol propranolol er discount card propranolol 10 mg dosage obat propranolol 10 mg tablet propranolol 80
BOTOX Injection (Onabotulinumtoxin A) for Migraine Headaches [Preauthorization Required]
![BOTOX Injection (Onabotulinumtoxin A) for Migraine Headaches [Preauthorization Required]](/thumbs/29/13417512.jpg "BOTOX Injection (Onabotulinumtoxin A) for Migraine Headaches [Preauthorization Required]")
BOTOX Injection (Onabotulinumtoxin A) for Migraine Headaches [Preauthorization Required] Medical Policy: MP-RX-01-11 Original Effective Date: March 24, 2011 Reviewed: Revised: This policy applies to products
Drug and non-drug treatments for chronic pain related to vascular disease. Gregory Chernish, MD, CIME
Drug and non-drug treatments for chronic pain related to vascular disease 1 Greg Chernish MD Assistant Professor, Family Medicine U of M Chengdu College of Traditional Chinese Medicine 1990 Certified Independent
Choices Drug Therapies
Choices Drug Therapies There are many prescription drugs available to treat MS. There are disease modifying drugs that affect the long-term course of MS and other medications to treat a particular symptom.
TREATMENT-RESISTANT DEPRESSION AND ANXIETY
University of Washington 2012 TREATMENT-RESISTANT DEPRESSION AND ANXIETY Catherine Howe, MD, PhD University of Washington School of Medicine Definition of treatment resistance Failure to remit after 2
REVIEW PREVENTIVE THERAPY FOR MIGRAINE HEADACHE. Carla Rubingh, PharmD * ABSTRACT
PREVENTIVE THERAPY FOR MIGRAINE HEADACHE Carla Rubingh, PharmD ABSTRACT Headache is one of the most common medical complaints. It is estimated that the prevalence of migraine is approximately 13% (18%
1. Which of the following would NOT be an appropriate choice for postoperative pain. C. Oral oxycodone 5 mg po every 4 to 6 hours as needed for pain
Pain Management 1 Chapter 34. Pain Management, Self-Assessment Questions 1. Which of the following would NOT be an appropriate choice for postoperative pain management in a patient dependent on opioids?
Kids get headaches too! Evaluation and treatment of the pediatric headache
3:45 4:25pm Approach to the Child with Headaches SPEAKER Jason T. Lerner, MD Presenter Disclosure Information The following relationships exist related to this presentation: Jason T. Lerner, MD: No financial
4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships
5 Actions to Overcome Addiction John Fitzgerald, PhD, LPC, CAS relationships 1 What is addiction? 2 Socially-constructed 3 Risk Factors 80% 15 years-old Addiction Protective Factors Risk Factors Domain
Pain is a common symptom reported
MULTIPLE SCLEROSIS FACT SHEET MANAGING YOUR PAIN Pain is a common symptom reported by people with multiple sclerosis (MS). Approximately 50-60% of people with MS experience acute or chronic pain at some
EXPLORING THE INTERACTION BETWEEN EXERCISE AND MEDICATION FOR CHRONIC DISEASE: CONSIDERATIONS FOR FITNESS PROFESSIONALS
EXPLORING THE INTERACTION BETWEEN EXERCISE AND MEDICATION FOR CHRONIC DISEASE: CONSIDERATIONS FOR FITNESS PROFESSIONALS Steven T. Johnson, PhD 1 Introduction The prevalence of chronic diseases like cardiovascular
Headaches in Children
Children s s Hospital Headaches in Children Manikum Moodley, MD, FRCP Section of Pediatric Neurology The Cleveland Clinic Foundation Introduction Headaches are common in children Most headaches are benign
Easy or complex? University Pharmacy. Pharm.D. candidates, 2011
High Blood Pressure Easy or complex? University Pharmacy Edwin Elliot, Insia Hussain Pharm.D. candidates, 2011 The evolution of mankind 2.5 mn years 50 years and we wonder why our healthcare costs are
Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:
Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic
Medications for Migraine Prophylaxis
This is a corrected version of the article that appeared in print. Medications for Migraine Prophylaxis SEEMA MODI, M.D., and DIONNE M. LOWDER, PHARM.D., B.C.P.S. Brody School of Medicine at East Carolina
MIGRAINE: QUESTIONS AND ANSWERS FOR PATIENTS Headache Research and Treatment Program Department of Neurology, David Geffen School of Medicine at UCLA
MIGRAINE: QUESTIONS AND ANSWERS FOR PATIENTS Headache Research and Treatment Program Department of Neurology, David Geffen School of Medicine at UCLA What is a migraine? Migraine is not just a headache,
Prevention of Migraine
CHAPTER 49 Prevention of Migraine M. K. Roy, P. Ghosh Introduction Headache is a universal experience with 1 year prevalence of about 90% and life time prevalence of about 99%. The differential diagnosis
Migraine Madness: Treatment of Childhood Migraine. Candida M. Brown, MD. Division of Neurology
Migraine Madness: Treatment of Childhood Migraine Candida M. Brown, MD Division of Neurology Following print-publication of The International Classification of Headache Disorders, 2 nd edition (ICHD-II),
Hypertension and Heart Failure Medications. Dr William Dooley
Hypertension and Heart Failure Medications Dr William Dooley Plan Heart Failure Acute vs. chronic Mx Hypertension Common drugs used Method of action Choice of medications Heart Failure Aims; Short term:
BIPOLAR DISORDER A GUIDE FOR INDIVIDUALS AND FAMILIES FOR THE TREATMENT OF BIPOLAR DISORDER IN ADULTS
BIPOLAR DISORDER A GUIDE FOR INDIVIDUALS AND FAMILIES FOR THE TREATMENT OF BIPOLAR DISORDER IN ADULTS A publication of the Massachusetts Department of Mental Health and the Massachusetts Division of Medical
Medications for chronic pain
Medications for chronic pain When it comes to treating chronic pain with medications, there are many to choose from. Different types of pain medications are used for different pain conditions. You may
Childhood Migraine A Complementary and Alternative Approach
Childhood Migraine A Complementary and Alternative Approach Thomas K. Koch, MD Faculty Disclosure Information Childhood Migraine: A Complementary and Alternative Approach Presented by Thomas K. Koch, MD
HEADACHE. as. MUDr. Rudolf Černý, CSc. doc. MUDr. Petr Marusič, Ph.D.
HEADACHE as. MUDr. Rudolf Černý, CSc. doc. MUDr. Petr Marusič, Ph.D. Dpt. of Neurology Charles University in Prague, 2nd Faculty of Medicine Motol University Hospital History of headache 1200 years B.C.
Managing Chronic Pain in Adults with Substance Use Disorders
Question from chapter 1 Managing Chronic Pain in Adults with Substance Use Disorders 1) What is the percent of chronic pain patients who may have addictive disorders? a) 12% b) 22% c) 32% d) 42% 2) Which
Managing Menopause. Signs
Managing Menopause Menopause is a stage in a woman s life when the hormone levels of estrogen and progesterone decrease in the body. As hormone levels decrease, menstruation may be irregular and will eventually
Common medicines given to neurosurgery patients on discharge from hospital
Common medicines given to neurosurgery patients on discharge from hospital This leaflet contains brief information about some of the medicines we commonly supply on discharge to patients who have been
Questions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment
Questions and answers on breast cancer Guideline 10: The management of persistent pain after breast cancer treatment I ve had breast cancer treatment, and now I m having pain. Does this mean the cancer
Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder
Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder AACAP Official Action: OUTLINE OF PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, AND ADULTS WITH ADHD
UBC Pain Medicine Residency Program: CanMEDS Goals and Objectives of the UBC Headache Clinic Rotation
UBC Pain Medicine Residency Program: CanMEDS Goals and Objectives of the UBC Headache Clinic Rotation Overview: The UBC Headache Clinic is located in located in rm. 267, on the 2nd floor of UBC Hospital.
Treatment of Chronic Pain: Our Approach
Treatment of Chronic Pain: Our Approach Today s webinar was coordinated by the National Association of Community Health Centers, a partner with the SAMHSA-HRSA Center for Integrated Health Solutions SAMHSA
THE COMMONWEALTH OF MASSACHUSETTS Department of Industrial Accidents
THE COMMONWEALTH OF MASSACHUSETTS Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, Massachusetts 02114-2017 DEVAL L. PATRICK Governor PHILIP L. HILLMAN Director TIMOTHY P. MURRAY
WHAT IS MIGRAINE? Aura without Headache About 1% of migraineurs experience the aura symptoms of migraine without ever having a headache.
WHAT IS MIGRAINE? Migraine is the most common neurological condition in the world, affecting about 1 in 10 people. It is 3 times more common in women and is usually inherited. It is a very individual condition.
Botulinum neurotoxin for the treatment of migraine and other primary headache disorders
Dermatol Clin 22 (2004) 167 175 Botulinum neurotoxin for the treatment of migraine and other primary headache disorders Andrew M. Blumenfeld, MD a, *, David W. Dodick, MD, FRCP(C), FACP b,c, Stephen D.
Kids Get Headaches Too
health information Kids Get Headaches Too Alberta Health Services It is hard to see your child in pain. It can be frustrating or scary for a child to have headaches. In this booklet you will learn about:
Please fill out (in medium blue or black pen) as completely as possible and bring to your first visit.
PATIENT S NAME MED. REC. # PATIENT QUESTIONNAIRE HEADACHE DOB Patient Identification Please fill out (in medium blue or black pen) as completely as possible and bring to your first visit. Patient Name:
Treatments for Major Depression. Drug Treatments The two (2) classes of drugs that are typical antidepressants are:
Treatments for Major Depression Drug Treatments The two (2) classes of drugs that are typical antidepressants are: 1. 2. These 2 classes of drugs increase the amount of monoamine neurotransmitters through
Management of High Blood Pressure in Adults Based on the Report from the Panel Members Appointed to the Eighth Joint National Committee (JNC8)
Management of High Blood Pressure in Adults Based on the Report from the Panel Members Appointed to the Eighth Joint National Committee (JNC8) Adapted by Capital Health Plan Approved by Quality Improvement
ADULT HYPERTENSION PROTOCOL STANFORD COORDINATED CARE
I. PURPOSE To establish guidelines for the monitoring of antihypertensive therapy in adult patients and to define the roles and responsibilities of the collaborating clinical pharmacist and pharmacy resident.
Migraine Treatment - What You Should Know
What kind of headache do you have? Less than 2% of the population have never had a headache. Most of us get them from time to time and they are usually resolved with a couple of painkillers, a rest or
Patient Information Form Pain Management Center at Phoebe
Patient Information Form Pain Management Center at Phoebe Please complete the following form, so that we may facilitate your visit Occupation: or (circle) Retired, Disabled Homemaker, Full time student
Integrative Pain Management. The Goal of Integrative Pain Management. If pain is not treated what can happen?
IPM ASPMN National Conference March 24-27, 2007 Addison, Texas Cynthia Knorr-Mulder APRN, NP-C, CHt Nurse Practitioner Northern New Jersey www.integrative-medicine.biz Integrative pain management is a
Acute and Preventive Treatment of Migraine Paul B. Rizzoli, MD, FAAN
Review Article Address correspondence to Dr Paul B. Rizzoli, BW/Faulkner Neurology, John R. Graham Headache Center, 1153 Centre St, Suite 4970, Jamaica Plain, MA 02130, prizzoli@partners.org. Relationship
Tension Type Headaches
Tension Type Headaches Research Review by : Dr. Ian MacIntyre Physiotherapy for tension-type Headache: A Controlled Study P. Torelli, R. Jenson, J. Olsen: Cephalalgia, 2004, 24, 29-36 Tension-type headache
XXXXX Petitioner v File No. 121439-001. Issued and entered this 27 TH day of October 2011 by R. Kevin Clinton Commissioner ORDER
In the matter of STATE OF MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC GROWTH OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation XXXXX Petitioner
Best Practices for Patients With Pain. Commonly Used Over the Counter (OTC) Pain Relievers 5/15/2015
Faculty Best Practices for Patients With Pain Nancy Bishop, RPh Assistant State Pharmacy Director Alabama Department of Public Health Satellite Conference and Live Webcast Wednesday, May 20, 2015 2:00
Potential Effects Of Significant Alcohol Withdrawal And Surgeries
Alcohol Use Dates Back 7,000 to 10,000 Years Though Scientists Still Debate the Mechanisms of Hangovers Proposed Causes of Hangovers Acute ethanol withdrawal Ethanol can alleviate symptoms Acetaldehyde
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Methodology: 8 respondents The measures are incorporated into one of four sections: Highly
Adult with headache. Problem-specific video guides to diagnosing patients and helping them with management and prevention
Adult with headache Problem-specific video guides to diagnosing patients and helping them with management and prevention London Strategic Clinical Networks London Neuroscience Strategic Clinical Network
Trigeminal Neuralgia. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service National Institutes of Health
Trigeminal Neuralgia U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service National Institutes of Health Trigeminal Neuralgia What is trigeminal neuralgia? Trigeminal neuralgia (TN), also
Clinical Audit: Prescribing antipsychotic medication for people with dementia
Clinical Audit: Prescribing antipsychotic medication for people with dementia Trust, team and patient information Q1. Patient's DIS number... Q2. Patient s residence: Home Residential Home Nursing Home
U S F a m i l y H e a l t h P l a n. Value Added Services for our US Family Health Plan Members
Value Added Services for our US Family Health Plan Members Vision Care Complementary and Alternative Medicine Hearing Aids and Batteries U S F a m i l y H e a l t h P l a n Healthy Vision: The Clear Choice
Migraines. Brought to you by the Waynesburg University Student Health Services
Migraines Brought to you by the Waynesburg University Student Health Services For God is not unjust; He will not forget your work and the love you showed for His name when you served the saints and you
Controversies in Migraine Management
Controversies in Migraine Management A Technology Assessment Final Report August 19, 2014 Completed by: Institute for Clinical and Economic Review Institute for Clinical and Economic Review, 2014 AUTHORS:
Headache Help for Your Child or Teen
Patient and Family Education Headache Help for Your Child or Teen Headaches are a common problem for kids and teens. This flyer will help you to understand some of the ways you can help your child or teen
After seeing a patient on a Diversion Alert installment..
After seeing a patient on a Diversion Alert installment.. Recommendations from Dr. James Berry of Mercy Recovery Center OVERVIEW OF DIVERSION Manufacture Distribution Pharmacy Patient End -user OPPORTUNITIES
Mellen Center Approaches: Pain in Multiple Sclerosis
Cleveland Clinic Mellen Center for Multiple Sclerosis Treatment and Research 216.444.8600 Mellen Center Approaches: Pain in Multiple Sclerosis How often do MS patients have pain? The point prevalence of
Pharmacology - Problem Drill 06: Autonomic Pharmacology - Adrenergic System
Pharmacology - Problem Drill 06: Autonomic Pharmacology - Adrenergic System Question No. 1 of 10 Instructions: (1) Read the problem and answer choices carefully, (2) Work the problems on paper as 1. What
Clinical and Therapeutic Cannabis Information. Written by Cannabis Training University (CTU) All rights reserved
Clinical and Therapeutic Cannabis Information Written by Cannabis Training University (CTU) All rights reserved Contents Introduction... 3 Chronic Pain... 6 Neuropathic Pain... 8 Movement Disorders...
Migraine The Problem: Common Symptoms:
Migraine The Problem: A combination of genetic and environmental factors alter pain mechanisms in your brain Transient changes in brain chemicals such as serotonin and neuropeptides affect the membranes
SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions
SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions With Dickinson College s Value Based Insurance Design (VBID) If you have an ongoing condition, you can live well. You will need to
Prescription Opioid Addiction and Chronic Pain: Non-Addictive Alternatives To Treatment and Management
Prescription Opioid Addiction and Chronic Pain: Non-Addictive Alternatives To Treatment and Management Dr. Barbara Krantz Medical Director Diplomate American Board of Addiction Medicine 1 Learning Objectives
Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau
Michigan Department of Licensing and Regulatory Affairs Pain and Symptom Management Speakers Bureau Are you looking for a speaker to present at your conference, ground rounds, or brown bag lunch? If you
NEW PATIENTS' INFORMATION SHEET
NEW PATIENTS' INFORMATION SHEET Please print clearly. Please complete all information so that your claim can be processed quickly and efficiently. Thank you! PATIENT INFORMATION (First) (MI) (Last) Name
None related to the presentation Grants to conduct clinical trials from:
Chronic Daily Headache Bassel F. Shneker, MD, MBA Associate Professor Vice Chair, OSU Neurology The Ohio State University Wexner Medical Center Financial Disclosures None related to the presentation Grants
Introduction to Rehabilitation in the Context of HIV for Family Physicians
Introduction to Rehabilitation in the Context of HIV for Family Physicians 1. Introduction: What is Rehabilitation? The profile of HIV disease is changing: today, new drugs can slow disease progression
Medical management of CHF: A New Class of Medication. Al Timothy, M.D. Cardiovascular Institute of the South
Medical management of CHF: A New Class of Medication Al Timothy, M.D. Cardiovascular Institute of the South Disclosures Speakers Bureau for Amgen Background Chronic systolic congestive heart failure remains
Drug Class Review Drugs for Fibromyalgia
Drug Class Review Drugs for Fibromyalgia Final Original Report April 2011 The Agency for Healthcare Research and Quality has not yet seen or approved this report. The purpose of the is to summarize key
How To Treat An Addiction
Bridging the Gaps an integrative addiction treatment facility About Us About Us Bridging the Gaps (BTG), an integrative residential addiction treatment facility located in historic Winchester, Virginia,
M I G R A I N E Updates in Diagnosis & Treatment
M I G R A I N E Updates in Diagnosis & Treatment Theresa Mallick-Searle, MS, RN-BC, APN-BC Stanford Health Care Division Pain Medicine Tmallick@stanfordhealthcare.org Disclosures: Speakers bureau Allergan
There are two different types of migraines: migraines without aura and migraines with aura.
What is migraine? A migraine is a relatively common medical condition that can severely affect the quality of life of the sufferer and his or her family and friends. 1 Almost 8% of Canadians over the age
Migraines: Treatment Options Report
Migraines: Treatment Options Report April 2006 Migraines: Treatment Options Report Prepared for: CALIFORNIA HEALTHCARE FOUNDATION Prepared by: UC Davis Center for Health Services Research in Primary Care