Treatment of headaches.
Vagus nerve neurostimulation
Neurostimulation of the vagus nerve. Principle The vagus or vagus nerve: Controls the vocal cords, allows swallowing, keeps the larynx open for breathing. Slows heart rate. Starts and controls digestion, Modifies inflammatory reactions, Influence of
Lamotrigine ABONNE
Indications : Epilepsy: Adults and adolescents aged 13 and over: – Treatment in monotherapy or in combination of partial and generalized epilepsies, including tonic-clonic seizures. – Seizures associated with Lennox-Gastaut syndrome. Lamictal is administered in
Amitriptyline ABONNE
Indications : – Major depressive episodes. – Peripheral neuropathic pain in adults. – Nocturnal enuresis in children in cases where any organic pathology has been excluded. Dosage in neuropathic pain: Treatment should start at low
Clomipramine ABONNE
Indications : – Major depressive episodes. – Peripheral neuropathic pain in adults. – Obsessive-compulsive disorders. Dosage in neuropathic pain: Treatment should start at low doses: 10 mg to 25 mg per day for 3 weeks.
Carbamazepine ABONNE
Indications : Epilepsies : – Adult and child: As monotherapy or in combination with another antiepileptic treatment: – Treatment of partial epilepsies, with or without secondary generalization. – Treatment of generalized epilepsies: tonic-clonic seizures. Psychiatry:
Oxcarbazepine ABONNE
Indications : Treatment of partial epileptic seizures with or without secondary generalization. As monotherapy or in combination with another antiepileptic treatment in adults and children from 6 years of age. Oxcarbazepine (Trileptal) does not have
Treatment of chronic migraine
Treatment of chronic migraine After having defined the chronic nature of migraine. we can use medicinal and non-drug treatments described in the article: Treatment of migraine.
Headache prevention due to medication overuse
Prevention of these headaches relies on education of patients presenting with migraine and/or tension headache. It is based on: Keeping a diary The need for the patient to know the concept of pre-abuse defined by
Treatment of medication overuse headache
There was a consensus that weaning off analgesic treatments or specific anti-migraine treatments was a mandatory step in the management of headaches. To date, with the arrival of new anti-migraine treatments, this position is more
Treatment of tension headache
Before talking about treatment for tension headaches, we will look for a triggering cause (for example a change of glasses, ill-fitting glasses, a change of workstation, etc.). The different methods described below can be combined
Botulinum toxin type A
Action mechanism : Botulinum neurotoxins are made up of proteins of 1300 amino acids, (produced by the bacterium, Clostridium botulinum). These are zinc endopeptidases, ie enzymes capable of cutting proteins. The proteins are VAMP/synaptobrevin, SNAP25
Transcutaneous electrical nerve stimulation (TENS)
Principle of operation of transcutaneous electrical nerve stimulation (TENS). Transcutaneous electrical neurostimulation is a drug-free analgesic technique that uses the properties of an electric current transmitted through electrodes placed on the skin. Its operation is
Basic treatment of migraine
Basic treatment of migraine attacks. Drug treatment: Medicinal therapeutic possibility Oral medications with demonstrated effectiveness in migraine prophylaxis are listed in the table below. This effectiveness is demonstrated in the prevention of episodic diseases for
Triptans
Reference treatment for migraine attacks. Several molecules are available: The development of anti-CGRP antibodies modifies the prescription of triptans in the management of migraine. Almotriptan, Eletriptan, Frovatriptan, Naratritan, Rizatriptan, Sumatriptan, Zolmitriptan. Trade name in order:
Migraine treatment ABONNE LIBRE
Treatment of migraine attacks. The crisis is only for 2 hours for a minimum duration of 24 hours. Treatment for analgesics The initial treatment of the crisis uses the analgesics of shield 1 in first
Indomethacin
Nonsteroidal anti-inflammatory drugs (NSAIDs) It fights against inflammation and pain, lowers fever and thins the blood. It is used in adults for the short-term treatment of acute osteoarthritis pain, certain inflammations (tendinitis, bursitis, acute shoulder pain),