| Drug treatment of migraine: Part I. Acute therapy and drug-rebound headache. | |
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MedLine Citation:
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PMID: 9390098 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Most migraine patients need only abortive treatment for their headaches. By the time they present to a physician, they have already tried many over-the-counter medications for headache relief. Prioritizing treatment according to headache severity and associated symptoms will help the physician determine the most appropriate medications to use. Narcotics should be reserved for use only in patients unresponsive to adequate trials of non-narcotic agents. In some patients, the recurrent nausea and vomiting can be as disabling as the pain; antiemetic agents are an important adjunct to analgesic therapy in these patients. Sumatriptan and dihydroergotamine are more expensive than other migraine agents but have distinct therapeutic advantages in patients with moderate to severe headaches. Some patients experience rebound headache from overuse of analgesics and other headache medications. Educating patients about self-help measures and avoidance of triggers is an important element in the effective management of migraine headaches. |
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Authors:
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K L Moore; S L Noble |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American family physician Volume: 56 ISSN: 0002-838X ISO Abbreviation: Am Fam Physician Publication Date: 1997 Nov |
Date Detail:
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Created Date: 1997-12-17 Completed Date: 1997-12-17 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1272646 Medline TA: Am Fam Physician Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2039-48, 2051-4 Citation Subset: AIM; IM |
Affiliation:
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University of Mississippi Medical Center, Jackson, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analgesics
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administration & dosage,
therapeutic use* Chronic Disease Humans Migraine Disorders / drug therapy*, physiopathology Severity of Illness Index |
| Chemical | |
Reg. No./Substance:
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0/Analgesics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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