Neurol. praxi. 2019;20(4):302-306 | DOI: 10.36290/neu.2019.132

Farmacotherapy of headache, mainly migraine

MUDr. Irena Novotná

1. neurologická klinika LF MU, FN u sv. Anny, Centrum pro diagnostiku a léčbu bolestí hlavy, Brno

Headache is one of the most common disorders encountered by nearly everyone. It is primarily divided into primary, where the most typical variety is migraine and its forms, and secondary, where headache is a symptom of another illness and it accompanies this illness. After the illness is cured, headache most often disappears. Headaches are distinguished in detail according to International Headache Society classification. In a daily practice of a physician or farmacist, the most important classification is to primary and secondary headache. According to anamnesis, after excluding possible secondary reasons and with normal results of common support analyses we can say for sure that it is a primary headache. Not until then we can responsibly decide how to treat the headache. Therapeutic approaches when curing primary or secondary headaches can be totally different. The treatment should be effective and precisely aimed, not random, because the delay caused by low effect (and loss of confidence of the doctor by the patients) lengthens the suffering, which has a negative impact on the psychics of a person and also direct and indirect socio-economic consequences. For treatment we select (according to the cause) medicaments to stop acute aching, and possibly also a prophylactic treatment, following rehabilitation or psychical support.

Keywords: primary headache, secondary headache, classification, treatment, profylaxis

Published: September 1, 2019  Show citation