What is chronic daily headache? Information for patients Neurology
|
|
- Fay Hodges
- 8 years ago
- Views:
Transcription
1 What is chronic daily headache? Information for patients Neurology
2 What is chronic daily headache (CDH)? Chronic daily headache (CDH) is the term used when a person has a headache on 15 days a month or more, for at least 3 months. Is chronic daily headache a diagnosis? Chronic daily headache or CDH is not a diagnosis, it is just a descriptive term to describe these types of headache. How common is CDH? About 4% of the population suffer chronic daily headache, that is 1 in every 25 people. What causes CDH? There are many causes of CDH, they are generally categorised as: Primary headaches where headache is one part of a group of symptoms Secondary headaches where headache is caused by a disorder that can be identified The two most common causes of CDH seen in headache clinics are: A primary headache known as chronic migraine A secondary headache known as medication overuse headache page 2 of 8
3 What is chronic migraine? Chronic migraine is the term used to describe headaches which occur on at least 15 of days in the month, and where (without medication) at least 8 of those days the symptoms are those of a migraine. Migraine symptoms can include: Throbbing, worsened by movement Nausea Sensitivity to noise, light or smell Chronic migraine often starts as episodic migraine where attacks occur on less than 15 days per month but gradually become more frequent over time. Eventually, the gaps between headaches fill in with milder headaches, resulting in only a few days of the month, if any, where the head feels 'crystal clear'. Additional symptoms in chronic migraine are common and may include: Twitching around the eye(s) Feeling spaced out and dizzy Vertigo Concentration difficulties Altered mood and irritability page 3 of 8
4 What is medication overuse headache? For some patients, taking acute medication (such as painkillers) on a regular basis can lead to chronic daily headache. This may be the result of taking medication on 3-4 days a week over a period of a few months. This can either cause CDH, or prevent it from being treated. Common drugs considered to cause medication overuse headache include pain-killers such as the following (or in combination): Paracetamol Opiate based preparations Tramadol Codeine based preparations Dihydrocodeine Ergotamine Caffeine Triptans Sumatriptan Zolmitriptan Rizatriptan Naratriptan Almotriptan Eletriptan Frovatriptan Anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen probably produce the same problem, although some experts believe naproxen is less likely to do so. Studies have shown that up to 70% of people with CDH taking frequent medication to relieve headaches, can improve by just stopping the medication. In some cases the headaches can resolve altogether. page 4 of 8
5 How long does it take to improve after stopping medication? After stopping acute medication, there can be a period of time during which the headache seems worse this is known as 'rebound headache'. This usually settles down after a period of time (for some this may take a few days, for others this may be a few weeks). Headaches often become less frequent, less severe and more amenable to treatment, especially with preventive treatments. A period of at least 4 weeks off acute medication is recommended but it may take another few weeks for any improvement to become apparent. What happens if I still experience headache after stopping medication? Medication overuse can block the useful effects of headache prevention drugs. By stopping acute medication such as painkillers you can help to restore your bodies response to other medication such as preventative treatments. This is known as 'recovery of therapeutic responsiveness'. So even if your headaches do not stop altogether by stopping acute medication, cutting them out will allow other headache prevention treatments to be more effective. Why is the term chronic daily headache used? CDH is common in neurology clinics and a period of assessment often lasting weeks or several months is required while a number of diagnoses are being considered. The term CDH can therefore be used during this time without committing to a specific diagnosis but still acknowledging that a person is suffering from chronic and frequent headaches. The fact that there are a number of causes of CDH means that it is not always possible for your doctor to make a specific diagnosis when you are first seen. Usually your doctor will follow you up and try to make a page 5 of 8
6 specific diagnosis with help from your headache diary and sometimes other investigations if required. Are any investigations/tests required for chronic daily headache? As chronic daily headache has a number of causes, investigations are often performed but as most cases are due to chronic migraine or medication overuse headache the results of investigations are usually normal. Keeping a headache diary with the date of attacks, severity, duration and treatment used is often essential to be able to make the diagnosis. Your doctor can discuss investigations/tests with you if you have any questions or concerns. Can chronic daily headache be treated? Treatment of chronic daily headache takes time and patience on the part of both the patient and doctor. Treatment often involves withdrawal of frequent acute medication (such as painkillers) and following this, if required, the introduction of a preventive drug taken daily to try to stop attacks occurring. Preventative medication aims to ultimately prevent the attacks from occurring but in some cases a reduction in duration or severity of attacks is seen instead. There are a number of different preventive medications which can be used and different people respond differently to such medications. Our aim is to offer a preventive drug that you can tolerate and increase the dose to improve the headache without causing side effects. page 6 of 8
7 What is the outlook long-term? With patience and persistence following a plan of management, many patients do improve. Some patients despite the best effects of their doctor do not make significant improvements and in some cases the input of a pain management service may be considered. Where can I find more information on chronic daily headache? Unfortunately there is limited information available on chronic daily headache or chronic migraine, though the following sources of information provide further advice on migraine in general and medication overuse headache. Diagnosis and treatment for migraine: General information on migraine: Information and support/advocacy for migraine Information and support/advocacy for chronic migraine Comprehensive information about all aspects of headache and migraine. Some information/leaflets require membership or need to be purchased: page 7 of 8
8 This leaflet is a general guide on chronic daily headache if you have any other queries or concerns about your headache or medications then you can discuss them with your GP or your neurologist. Produced with support from Sheffield Hospitals Charity Working hard to fund improvements that make life better for patients and their families Please donate to help us do more Registered Charity No organdonation.nhs.uk Alternative formats may be available on request. Please alternativeformats@sth.nhs.uk Sheffield Teaching Hospitals NHS Foundation Trust 2015 Re-use of all or any part of this document is governed by copyright and the Re-use of Public Sector Information Regulations 2005 SI 2005 No Information on re-use can be obtained from the Information Governance Department, Sheffield Teaching Hospitals. infogov@sth.nhs.uk PD8565-PIL3619 v1 Issue Date: December Review Date: December 2017
Contents Page. 1. What is IV DHE? 3. 2. Medication Licence 3. 3. How can a course of IV DHE help? 4. 4. What are the side effects of IV DHE?
If you would like this document in another language or format, or if you require the services of an interpreter, please contact us on extension 84299 or 83926. Switchboard: 0845 155 5000 020 3456 7890
More informationNational Hospital for Neurology and Neurosurgery. Migraine associated dizziness Department of Neuro-otology
National Hospital for Neurology and Neurosurgery Migraine associated dizziness Department of Neuro-otology If you would like this document in another language or format or if you require the services of
More informationMigraine 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
More informationWHAT 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.
More informationPATIENT INFORMATION SHEET CHRONIC MIGRAINE
1 PATIENT INFORMATION SHEET CHRONIC MIGRAINE Dr Nicholas Silver, Consultant Neurologist, the Walton Centre NHS Foundation Trust Chronic Migraine Chronic Migraine is a condition that may cause many different
More informationNone 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
More informationAdult 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
More informationWeb: www.migraine.org.uk. Medication overuse headache and undergoing a detox programme
Web: www.migraine.org.uk Medication overuse headache and undergoing a detox programme Web: www.migraine.org.uk/moh What is medication overuse headache? Medication taken to help relieve migraine attacks
More informationBotox treatment for chronic migraine
University Teaching Trust Botox treatment for chronic migraine Humphrey Booth Building Neurosciences 0161 206 2563 0161 206 2427 All Rights Reserved 2016. Document for issue as handout.. This information
More informationChronic daily headache
Chronic daily headache Chronic daily headache (CDH) is defined as any headache syndrome affecting more than half of the month, i.e. a headache on more than 15 days per month. It is also known as daily
More informationHeadaches 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
More informationChronic daily headache with analgesic overuse Epidemiology and impact on quality of life. NEUROLOGY April, 2004;62:1338 1342
Chronic daily headache with analgesic overuse Epidemiology and impact on quality of life 1 NEUROLOGY April, 2004;62:1338 1342 R. Colás, MD; P. Muñoz, MD; R. Temprano, MD; C. Gómez, SW; and J. Pascual,
More informationSIGN. Diagnosis and management of headache in adults. Quick Reference Guide. Scottish Intercollegiate Guidelines Network
SIGN Scottish Intercollegiate Guidelines Network 107 iagnosis and management of headache in adults Quick Reference Guide November 2008 opies of all SIGN guidelines are available online at www.sign.ac.uk
More informationUpdated guidelines on headache management for use by the pharmacist
M I P C A MIGRAINE IN PRIMARY CARE ADVISORS Updated guidelines on headache management for use by the pharmacist Introduction N U M B E R 2 1, O C T O B E R 2 0 1 2 Headache is a major public health problem,
More informationMigraine 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
More informationMigraine and pregnancy
Migraine and pregnancy Many women find that during pregnancy their migraines seem to improve. Research suggests that if you normally get menstrual migraine there is a 60-70% chance that you will have few
More informationOxford University Hospitals. NHS Trust. Oxford Centre for Head and Neck Oncology. Pain Relief. Information for patients
Oxford University Hospitals NHS Trust Oxford Centre for Head and Neck Oncology Pain Relief Information for patients Introduction This booklet has been written to give you information about pain relief.
More informationNon-epileptic seizures
Non-epileptic seizures a short guide for patients and families Information for patients Department of Neurology Royal Hallamshire Hospital What are non-epileptic seizures? In a seizure people lose control
More informationHEADACHE UK An alliance working for people with headache. School Policy Guidelines for School Students with Migraine and Troublesome Headache
HEADACHE UK An alliance working for people with headache School Policy Guidelines for School Students with Migraine and Troublesome Headache Content Background 2 Aim The extent and impact of the problem
More informationPATIENT INFORMATION SHEET. Version 5, March 2015
King s College Hospital NHS Foundation Trust King s College Hospital Denmark Hill London SE5 9RS Tel: 020 3299 9000 Fax: 020 3299 3445 www.kch.nhs.uk PATIENT INFORMATION SHEET Version 5, March 2015 Study
More informationEmergency 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
More informationHeadaches in Children How to Manage Difficult Headaches
Headaches in Children How to Manage Difficult Headaches Peter Procopis Childhood headaches Differential diagnosis Migraine Psychological Raised Pressure Childhood headaches Other causes: Constitutional
More informationHow To Understand The Effects Of Mild Traumatic Brain Injury
Knowing about your Mild Traumatic Brain Injury (TBI) Knowing about mild TBI There is a distinction between visible injuries to the scalp ( Head Injuries ) and internal injuries to the brain itself ( Traumatic
More informationStudies tell us the pain will be gone or improved significantly in ¾ of patients in 4 weeks and 9/10ths of patients in 6 weeks.
Back pain is common and ranges from mild to severe pain. Most episodes soon ease within 4 weeks and are not due to serious illness. Keeping active is the most important message along with painkillers if
More informationPain and problem drug use
Pain and problem drug use Information for patients Prepared by the British Pain Society in consultation with the Royal College of Psychiatrists, the Royal College of General Practitioners and the Advisory
More informationEvidence-Based Guidelines for Migraine Headache in the Primary Care Setting: Pharmacological Management of Acute Attacks
Evidence-Based Guidelines for Migraine Headache in the Primary Care Setting: Pharmacological Management of Acute Attacks David B. Matchar, MD Professor of Medicine and Director, Center for Clinical Health
More informationThere 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
More informationTension-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
More informationKids 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:
More information4.1 How can migraine treatments be assessed and rated? 86 STRATEGIES FOR USING MIGRAINE THERAPIES
Migraine treatments 4 4.1 How can migraine treatments be assessed and rated? 86 STRATEGIES FOR USING MIGRAINE THERAPIES 4.2 What are the strategies for treating migraine? 86 4.3 How should behavioural
More informationPain Clinic Psychological Service. Information for patients Department of Psychological Services
Pain Clinic Psychological Service Information for patients Department of Psychological Services page 2 of 8 You have been referred to the Pain Clinic Psychological Service at the Northern General Hospital.
More informationTreating Severe Migraine Headaches in the Emergency Room A Review of the Research for Adults
Treating Severe Migraine Headaches in the Emergency Room A Review of the Research for Adults Is This Information Right for Me? Yes, this information is right for you if: Your doctor* has told you that
More informationMigraine and stroke. What is migraine? What are the main types of migraine? Stroke Helpline: 0303 3033 100 Website: stroke.org.uk
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Migraine and stroke Migraine is a complex condition, which can impact on your work and social life. It is characterised by a severe headache, which
More informationA Guide to pain relief medicines For patients receiving Palliative Care
A Guide to pain relief medicines For patients receiving Palliative Care 1 Which pain medicines are you taking? Contents Page No. Amitriptyline 8 Codeine 9 Co-codamol 10 Co-dydramol 11 Diclofenac (Voltarol
More informationSporadic 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
More informationUsing the Triptans to Treat: Migraine Headaches. Comparing Effectiveness, Safety, and Price
Using the Triptans to Treat: Migraine Headaches Comparing Effectiveness, Safety, and Price Contents Our Recommendations........................................... 3 Welcome....................................................
More informationMedications 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
More informationDizziness and balance problems
Dizziness and balance problems Dizziness and balance problems, Action on Hearing Loss Information, May 2011 1 Dizziness and balance problems This factsheet is part of our Ears and ear problems range. It
More informationTension-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
More informationHeadache 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
More informationNational Hospital for Neurology and Neurosurgery. Inner ear balance problems. Department of Neuro-otology
National Hospital for Neurology and Neurosurgery Inner ear balance problems Department of Neuro-otology If you would like this document in another language or format or if you require the services of an
More informationPatient Information ONZETRA TM (On ze' trah) Xsail TM (Eks'-seil) (sumatriptan nasal powder) 11 mg
Patient Information ONZETRA TM (On ze' trah) Xsail TM (Eks'-seil) (sumatriptan nasal powder) 11 mg Read this Patient Information before you start using ONZETRA Xsail and each time you get a refill. There
More informationWithdrawal Symptoms: How Long Do They Last?
Withdrawal Symptoms: How Long Do They Last? Posted by First Step Medical Detox on November 24, 2015 When considering stopping drugs or alcohol, many addicts and alcoholics are concerned about the withdrawal
More informationCommon 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
More informationPost 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
More informationMIGRAINE: 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,
More informationEmergency Department. Whiplash neck sprain. Advice for patients
Emergency Department Whiplash neck sprain Advice for patients What is a whiplash neck sprain? A whiplash neck sprain occurs when your head is suddenly jolted backwards and forwards in a whip-like movement.
More informationHEADACHES 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
More informationDrug treatments for neuropathic pain
Understanding NICE guidance Information for people who use NHS services Drug treatments for neuropathic pain NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
More informationEvaluation of Headache Syndromes and Migraine
Evaluation of Headache Syndromes and Migraine Sonja Potrebic MD PhD Department of Neurology Los Angeles Kaiser Objectives 1) Identify the diagnostic features of migraine Differentiate from sinusitis 2)
More informationPolymyalgia Rheumatica www.arthritis.org.nz
Polymyalgia Rheumatica www.arthritis.org.nz Did you know? Arthritis affects one in six New Zealanders over the age of 15 years. Polymyalgia rheumatica is a common rheumatic condition. It affects more women
More informationCare Manager Resources: Common Questions & Answers about Treatments for Depression
Care Manager Resources: Common Questions & Answers about Treatments for Depression Questions about Medications 1. How do antidepressants work? Antidepressants help restore the correct balance of certain
More informationGuidance for Industry Migraine: Developing Drugs for Acute Treatment
Guidance for Industry Migraine: Developing Drugs for Acute Treatment DRAFT GUIDANCE This guidance document is being distributed for comment purposes only. Comments and suggestions regarding this draft
More informationAcute Treatment of Migraine
Acute Treatment of Migraine Headache Cooperative of New England (HCNE) Topnotch at Stowe, VT March 6, 2009 ALAN M. RAPOPORT, M.D. Founder and Director-Emeritus The New England Center for Headache Stamford,
More information8/23/2015 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
More informationPrednisone for the treatment of withdrawal headache in patients with medication overuse headache: A randomized, double-blind, placebo-controlled study
Brief Report Prednisone for the treatment of withdrawal headache in patients with medication overuse headache: A randomized, double-blind, placebo-controlled study Cephalalgia 33(3) 202 207! International
More informationHeadache - What is Your Migraine Size?
Headache The Pharmacist s Role in Assessment & Peter Loewen, B.Sc.(Pharm), Pharm.D. Vancouver Hospital & Health Sciences Centre University of British Columbia ETC, Headache. Nan Quintin www.vhpharmsci.com
More informationFollowing minor gynaecological surgery
Following minor gynaecological surgery Exceptional healthcare, personally delivered n Following your operation you should have an adult to take you home and remain with you overnight. Transport home should
More informationCervical Spondylosis. Understanding the neck
Page 1 of 5 Cervical Spondylosis This leaflet is aimed at people who have been told they have cervical spondylosis as a cause of their neck symptoms. Cervical spondylosis is a 'wear and tear' of the vertebrae
More informationBOTOX Treatment. for Chronic Migraine. Information for patients and their families. Botulinum Toxin Type A
BOTOX Treatment Botulinum Toxin Type A for Chronic Migraine Information for patients and their families. Is Chronic Migraine the same as Migraine? Chronic Migraine is similar to migraine as sufferers experience
More informationArthritis in Children: Juvenile Rheumatoid Arthritis By Kerry V. Cooke
Reading Comprehension Read the following essay on juvenile rheumatoid arthritis. Then use the information in the text to answer the questions that follow. Arthritis in Children: Juvenile Rheumatoid Arthritis
More informationTreatment Options for Acute Migraine
Treatment Options for Acute Migraine a report by Andrew J Dowson Director of the King s Headache Service, King s College Hospital DOI:10.17925/ENR.2006.00.02.28 Introduction Migraine Treatments Andrew
More informationControversies 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:
More informationChronic migraine and medication overuse headache: clarifying the current International Headache Society classification criteria
Chronic migraine and medication overuse headache: clarifying the current International Headache Society classification criteria doi:10.1111/j.1468-2982.2008.01753.x C Sun-Edelstein 1, ME Bigal 2 & AM Rapoport
More informationNew appendix criteria open for a broader concept of chronic migraine
Blackwell Publishing LtdOxford, UKCHACephalalgia0333-1024Blackwell Science, 20062006266742746Original ArticleA broader concept of chronic migrainej Olesen et al. BRIEF REPORT New appendix criteria open
More informationHELPING CLIENTS MANAGE MIGRAINES. These headaches can be debilitating. 54 mtj/massage therapy journal summer 2013
HELPING CLIENTS MANAGE MIGRAINES 54 mtj/massage therapy journal summer 2013 These headaches can be debilitating. Learn how massage therapy can help clients who suffer from migraines find some relief. BY
More informationStrong opioids (painkillers) in palliative care what you should know
Strong opioids (painkillers) in palliative care what you should know Patient Information Author ID: JG Leaflet Number: PC 006 Version: 1 Name of Leaflet: Strong opioids (painkillers) in palliative care
More informationMigraines. 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
More informationElements for a public summary. VI.2.1 Overview of disease epidemiology. VI.2.2 Summary of treatment benefits
VI.2 Elements for a public summary VI.2.1 Overview of disease epidemiology Pain is one of the most common reasons for a patient to seek medical attention. Moderate or severe intensity pain can be acute
More informationPatient information. Using strong Opioids to control your pain
Patient information Using strong Opioids to control your pain Published: April 2013. Date for review: April 2016 Introduction This leaflet explains what strong opioids (pronounced oh-pee-oyds) e are and
More informationAmerican Headache Society Evidence Assessment
Headache 2015 American Headache Society ISSN 0017-8748 doi: 10.1111/head.12499 Published by Wiley Periodicals, Inc. American Headache Society Evidence Assessment The Acute Treatment of Migraine in Adults:
More informationHorton Day Case Unit. Information and advice after a surgical procedure under a general anaesthetic
Horton Day Case Unit Information and advice after a surgical procedure under a general anaesthetic Information for patients 2 Driving Anaesthetic drugs remain the body for up to 48 hours and gradually
More informationUse of oral steroids in Multiple Sclerosis
Use of oral steroids in Multiple Sclerosis Information for patients and carers Neurology Department Aberdeen Royal Infirmary What are steroids? The steroids used to treat Multiple Sclerosis (MS) relapses
More informationSLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS
E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep
More informationMIGRAINE. 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.
More informationPain relief at home. Information for adult patients
Pain relief at home Information for adult patients 3 Contents Page 3 Page 3 Page 5 Page 7 Page 8 Introduction to pain relief Common pain relief medicines and their side effects More information about pain
More informationWelcome 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
More informationPost-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
More informationHeadaches. This chapter will discuss:
C H A P T E R Headaches 1 1 Almost everyone gets an occasional headache at some time or another. Some people get frequent headaches. Most people do not worry about headaches and learn to live with them
More informationA patient guide to mild traumatic brain injury
A patient guide to mild traumatic brain injury Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationAlcohol related ataxia. Information for patients Neurology
Alcohol related ataxia Information for patients Neurology page 2 of 8 What is ataxia? Ataxia means lack of co-ordination, and is the result of damage to a part of the brain called the cerebellum which
More informationProper Diagnosis and Treatment for the Headache Patient Alexander Feoktistov MD, PhD
Proper Diagnosis and Treatment for the Headache Patient Alexander Feoktistov MD, PhD Director of Clinical Research Diamond Headache Clinic Chicago, IL 2014 Objectives Get familiar with primary headache
More informationHormonal aspects of migraine
Hormonal aspects of migraine Migraine tends to affect three times more women than men. Menopause and during and after pregnancy can also increase the likelihood of a migraine attack. The good news is that
More informationManaging chronic pain. A booklet for patients and carers December 2013 Evidence
Managing chronic pain A booklet for patients and carers December 2013 Evidence Scottish Intercollegiate Guidelines Network ISBN 978 1 909103 17 7 First published December 2013 SIGN consents to the photocopying
More informationPlease be sure to list all therapies that have been previously tried on the request form so that your request can be processed in a timely manner.
Drug Therapy Guidelines: Migraine Agents Axert (almotriptan), Relpax (eletriptan), Frova (frovatriptan), Amerge (naratriptan), Maxalt/MLT (rizatriptan), Imitrex (sumatriptan), Zomig/ZMT (zolmitriptan),
More informationDifferential Diagnosis of Chronic Headache
Chronic Headache Differential Diagnosis of Chronic Headache JMAJ 47(3): 118 123, 2004 Koichi HIRATA Professor, Department of Neurology, Dokkyo University School of Medicine Abstract: Headache is one of
More informationCancer Pain. Relief from PALLIATIVE CARE
PALLIATIVE CARE Relief from Cancer Pain National Clinical Programme for Palliative Care For more information on the National Clinical Programme for Palliative Care, go to www.hse.ie/palliativecareprogramme
More informationPanadol Extra (paracetamol and caffeine) for pain
Panadol Extra (paracetamol and caffeine) for pain This Medicine Update is for people who are taking, or thinking about taking, Panadol Extra. Summary Panadol Extra is a pain reliever available from pharmacies.
More informationA whiplash injury, most commonly due to a car crash, causes neck pain. See separate leaflet called 'Whiplash Injury' for details.
Neck Pain in Adults Who gets neck pain and what are the causes? Neck pain is common. More than half of people develop a bout of neck pain at some time in their life. One survey done in the UK found that,
More informationAssessment and Management of Opioid, Benzodiazepine, and Sedative-Hypnotic Withdrawal
Assessment and Management of Opioid, Benzodiazepine, and Sedative-Hypnotic Withdrawal Roger Cicala, M. D. Assistant Medical Director Tennessee Physician s Wellness Program Step 1 Don t 1 It is legal in
More informationmedicineupdate Tramadol for pain Asking the right questions about new medicines Page Section 1: What tramadol is 1 Section 2: What tramadol is for 1
medicineupdate Asking the right questions about new medicines Tramadol for pain Page Section 1: What tramadol is 1 Section 2: What tramadol is for 1 Section 3: Who can take tramadol 2 Section 4: What does
More informationMemantine (Ebixa) Drug treatment for Alzheimer s disease
IS 20 October 2011 Information sheet Memantine (Ebixa) Drug treatment for Alzheimer s disease Introduction... 1 How does Ebixa work?... 1 Who might benefit?... 2 What effect might Ebixa have?... 2 How
More informationEuropean principles of management of common headache disorders in primary care. Scope and Purpose
in conjunction with Lifting The Burden The Global Campaign against Headache A collaboration between the World Health Organization, non-governmental organisations, academic institutions and individuals
More informationPain and painkillers
Pain and painkillers Many migraineurs can effectively manage their condition with products bought over the counter in a pharmacy or supermarket. There are numerous products available: Products containing
More informationZomig Nasal Spray. Zolmitriptan 5 mg Nasal Spray Solution. CONSUMER MEDICINE INFORMATION
Zomig Nasal Spray Zolmitriptan 5 mg Nasal Spray Solution. CONSUMER MEDICINE INFORMATION What is in this leaflet This leaflet answers some of the common questions people ask about It does not contain all
More informationDepression in children and adolescents
Patient information from the BMJ Group Depression in children and adolescents Depression is an illness that affects people of all ages, including children and teenagers. It can stop a child or teenager
More informationAdvances in Migraine Management: Implications for Managed Care Organizations
In response to the expense of new migraine therapies, treatment practices aimed at controlling direct costs are now the norm. Advances in Migraine Management: Implications for Managed Care Organizations
More informationClassification of Chronic Headache
Chronic Headache Classification of Chronic Headache JMAJ 47(3): 112 117, 2004 Mitsunori MORIMATSU Professor, Department of Neurology and Clinical Neuroscience, Yamaguchi University School of Medicine Abstract:
More informationCancer Pain. What is Pain?
Cancer Pain What is Pain? The International Association for the Study of Pain says that pain is "an unpleasant sensory and emotional experience associated with actual or potential tissue damage." Pain
More informationVestibular Injury. Vestibular Disorders Association www.vestibular.org Page 1 of 5
PO BOX 13305 PORTLAND, OR 97213 FAX: (503) 229-8064 (800) 837-8428 INFO@VESTIBULAR.ORG WWW.VESTIBULAR.ORG Vestibular Injury Compensation, De-compensation, and Failure to Compensate By Thomas E. Boismier,
More information