PPT-Medication-overuse headache

Fariborz Khorvash Associate Professor Of Neurology Isfahan University Of Medical Sciences Headache Fellowship Course. Broome. Fremantle. Chronic Headaches. ≥15 headache days per month for ≥ 3 months . (IHS 2013). 5% . of . population . (F>M 4:1). 5Fs . (Fat, Female, Forties, Frightened) . Caucasian, lower SES. University of California Irvine . Objective. Identify patient who need urgent evaluation and treatment. Review red flags . Primary headache. Secondary headache. Acute treatment. Prophylactic treatment . Elizabeth Ekpo Cutter MDMigraine as defined by the International Classification of Headache Disorders third edition ICHD-3 should include the following1At least 5 or more attacks in lifetime2Headache holocephalic. headache for the last week, which is worsening in intensity. The headache is worse at night and causes blurry vision. Her neurological examination is remarkable for bilateral papilledema. Which of the following is the most likely diagnosis?. ≥15 headache days per month for ≥ 3 months . (IHS 2013). 5% . of . population . (F>M 4:1). 5Fs . (Fearful, Female, Forties, Fat) . Caucasian, lower SES. Stress & anxiety. Quality . of life . Associated . professer. Neurologist. . Mrcp,frcp. . uk. . Accounts for 1. % to 2% of emergency department evaluations and up to 4% of medical office visits . Headache is caused by traction, displacement, inflammation, or distention of the pain-sensitive structures in the head or neck. Chronic Daily Headache: Challenges in Treatment JAY H. LEVIN, MD; MICHELLE MELLION, MD INTRODUCTION An overwhelming majority of men and woman living in the Western world will experience headaches at Migraine and Tension HeadacheGuidelineMajor Changes as of May 2021Medications NotRecommended for Headache Treatment 2 Major Changes as of May2021Melatonin, zinc, and vitamin Dmay be considered for mi Headache Division of Child and Adolescent Neurology Providers: Svinder Toor, MD Matthew Frank, MD Larry White, MD Ralph Northam, MD Donald Lewis, MD Matt Warren, PA Jennifer Kalb, PA There are medicin - Type Headache Acute Medication  ibuprofen 400 mg  ASA 1,000 mg  naproxen sodium 550 mg  acetaminophen 1,000 mg Prophylactic Medication 1 st line amitriptyline 10 - 100 mg h s O 32 OCTOBER 2019 Ask any person with migraine and they’ll tell you it is an unfair disorder. Migraine strikes without warning, may respond unpredictably to treatment, and often leaves a person Migraine without aura. ≥5 . attacks. lasting . 4–72 hours . when untreated. ≥. 2 . of the following. : . Unilateral location. Pulsating quality. Moderate-to-severe pain. Aggravation by physical activity. Higher. medication dose. Migraine. Medication overuse. ICHD-3 thresholds for overuse: . regular intake of ≥1 opioid or triptan on ≥10 days/month for >3 months, or regular intake of acetaminophen or ≥1 NSAID on ≥15 days/month for >3 months. abigail. downing st1. ‘A ubiquitous part of being human’ . (Taylor et. al. BJGP 2014). Aims. To improve GPST knowledge regarding diagnosis and management of headaches, focussing on ‘Primary’ headaches; tension, cluster, migraine and also medication overuse headache (MOH). .