Robbins Headache Clinic Blog
Mixing Triptans: Patient Satisfaction
Although some patients may prefer using an oral triptan other than Sumaritan and injectable Sumaritan to treat an attack of persistent migraine, administration of 2 different triptans within a 24-hour period currently is contradicted. A study was conducted by Dr. John...
Prodrin
Prodrin replaces Migraten and is a better version of Midrin. It has caffeine and no sedatives. Prodrin may be the best non-addition abortive medication that is not a triptan. Prodrin is a combination of acetaminophen, caffeine, and isometheptene and is used to treat...
Occipital Neuralgia With and Without Migraine: Differences in Pain Characteristics and Risk Factors
A study was conducted to identify differences between patients with isolated occipital neuralgia (ON) and patients with ON who also had migraine headache (ON+M). Very little is known about the pain characteristics and associated features of patients with these...
Adverse Childhood Experiences and Frequent Headaches in Adults
There have been a variety of studies linking childhood maltreatment to headaches, including migraine and chronic daily headache. A report using data from a study which included over 17,000 adult members of the Kaiser Health Plan in San Diego, CA was discussed in the...
Refractory Chronic Migraine: Long-Term Follow-up Using a Refractory Rating Scale
Background: RCM is often associated with disability, and a low quality of life (QOL). Long-term outcomes for RCM patients have not been well studied. There is a need to categorize these points according to severity. We utilized a unique RCM severity rating scale,...
Variations of Headache
Headache is defined as pain or discomfort in the head, scalp, or neck. There are many different kind of headaches with specific characteristics, including migraine, cluster, and tension headache. It is important to differentiate these headaches as it assists with...
NIH-funded study uses new technology to peek deep into the brain
Changes within deep regions of the brain can now be visualized at the cellular level, based on research on mice, which was funded by the National Institutes of Health. Published in Nature Medicine, the study used a groundbreaking technique to explore cellular-level...
Kidney Stones in topiramate users
An article reported on DocGuide.com,discusses topiramate, a medication increasingly prescribed for a number of neurological and non-neurological indications. Topiramate-treated patients are at risk for nephrolithiasis (kidney stones) due to hypocitraturia and high...
Depression Therapy
Depression is common and can be debilitating. Fortunately there are a number of medications that are effective in treating this disorder. Generally speaking these are easy to prescribe and are well tolerated. The number of Americans treated for depression increased...
Refractory Headache Definition
There are many challenges in defining refractory headaches (as there are with depression or epilepsy). These include: 1. Should we separate refractory to abortive from refractory to preventives? 2. Length of use: patients with 1 year of severe headaches should be...