Refractory Headaches

Refractory headache basically is “what to do for difficult, frequent headaches when things have not easily worked”. I started the Refractory Headache Section of the American Headache Society 11 years ago; we have spent a decade defining refractory...

Refractory Headaches

Refractory means “difficult to treat”…where the headaches have not responded to the usual minstrations..this is a common situation. Previously, I had published several studies(in our Archives) on long-term effects of daily headache preventives:...

Abortives For Cluster Headache

The main abortives for clusters remain:  triptans (Imitrex, Maxalt, etc.),  oxygen  analgesics  lidocaine nasal spray  ergots. Triptans do work the best, particularly Imitrex injections (many cluster sufferers get by with 2 or 3mg, which is half of a vial).  Oxygen,...

Newer Triptans

Several new triptans (Imitrex-type meds) have come on the market in the past year and a half;  Axert (almotriptan) came out 1.5 years ago, and more recently Frova.  There are pluses and minuses to each. Axert is relatively mild, with very few chest symptoms;  it is...

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