Headache, how to treat it?

Headaches or headaches, basically can be of two types: primary headaches (headache itself is the disease because there is an injury that occurs) and secondary headache (headache a banal or serious injury should they which is produced, for example, the flu, a tumor, a stroke, etc.). Logically, treatment in the specialty of neurology depend on whether primary or secondary.

The most common are primary headaches: tension headache (stress, worries, etc.) and Migraine headaches.

The treatment of tension headaches may improve with various relaxation techniques and some current analgesic occasionally, but become chronic abuse of painkillers may be beneficial treatment with a mild antidepressant such as amitriptyline 10 mg / 24h for one or two month continuously and analgesic abuse withdrawal.

Treatment of migraines is more complex and specific. Basically you have to decide (by frequency, intensity and response to pain reliever) whether to use preventive treatment or just calming and soothing.

• Preventive treatment of migraine can take daily oral during the months used today they are: topiramate; flunarizina; propranolol. Recently, in extreme cases frequency and no response to these treatments, you are using botulinum toxin injected every three months, with good results.
• Triptans are the most specific and better treatment and are safe for pain immediately triptans type drugs (; rizatriptan;; almotriptan eletriptan sumatriptan etc.) are used mainly. Should not be expected to take when the pain takes established long time (hours) or be too strong because the results will be worse. On the other hand, if the pain was mild analgesics can be used also common type NSAIDs (naproxen or others). Sometimes they associated with an antiemetic (domperidone) for vomiting.