Drugs for tensional surgery
Many people with muscle-intensive headache do not go to the doctor to cure this pain but they start taking the medication themselves.
The problem is that repeated use of analgesics can cause headache due to excessive use of analgesics.
There is no better medication than another, but a specific medication can be more effective for one person and less effective for another.
Many people say that medicine should be taken as soon as the symptoms start, it often happens in the morning when the person gets up.
Taking the medicine an hour after the symptoms have appeared may be useless, because the medication has no effect.
It is very important to know the cause of the headache to be able to take the most appropriate medication, for example, if the patient feels pain, especially when he / she bends down (leans forward), the cause of the pain can be a sinusitis and so Therefore, the treatment is different.
There are several medications available, that do not require a prescription, to relieve or reduce the pain caused by a headache attack, these medications are:
Generally, normal painkillers that do not require a doctor’s prescription are the first medication that people use to reduce their headaches.
These medications include: aspirin, ibuprofen (Doctril, Ibudol) and naproxen sodium (Momen).
People suffering from cervical pain that extends behind the nape of the neck to the forehead, to the temples (right or left side) can reduce the symptoms with these medications.
For neck pain that radiates to the face, many people reduce the symptoms with ketoprofen (Fastum).
Nonsteroidal anti-inflammatory drugs should not be taken on an empty stomach, because they can cause ulcers and stomach pain.
Among the analgesics, acetaminophen or paracetamol (Efferalgan, takipirine and others) may be less effective for the treatment of a headache and are more likely to cause a headache from overuse of the medication.
Paracetamol can be taken during pregnancy and breastfeeding.
Ibuprofen can only be taken after the first trimester of pregnancy, in fact, during the first 3 months there is a risk of spontaneous abortion.
Generally, aspirin and paracetamol are combined with caffeine or with a sedative in the same medicine. For example, in Saldeva, paracetamol, aspirin and caffeine are found.
Combination medications can be more effective than a single analgesic.
Although many combined medications are available without a prescription, medications containing sedatives necessarily require a medical prescription, because they can cause dependence and can cause chronic headache on a daily basis.Triptans and narcotics
For people who suffer from migraine and for whom they occasionally suffer from muscle-intensive headache, triptans can relieve pain of various types. Studies show that injections of a medication that is frequently used to treat migraine, such as sumatriptan (Imigran®), can also relieve the symptoms of chronic tension headache.
Opioids or narcotics are not used frequently, due to their side effects and because they cause dependence.
Pain medications do not cure a headache but relieve symptoms temporarily.
With the passage of time, painkillers and other medications can lose their effectiveness and can also cause headaches.
To avoid headache due to excessive use of medications, analgesics should not be used without medical prescription for more than nine days a month.
In addition, all medications have side effects. With regard to medications that are taken regularly, including those that do not require a doctor’s prescription, it is necessary to consult with the doctor about the risks and benefits. In addition, it is very beneficial to detect and treat the stress factors that can cause the headache since analgesic drugs do not solve the problem.
If some medications are taken regularly, they can reduce the frequency and severity of headache attacks.
The doctor can prescribe these medications for people who suffer from frequent headaches or if the pain has not been alleviated by means of analgesics or natural remedies, such as healthy eating or certain herbs.
The doctor may recommend preventive medications if:
- Headache is invalidating,
- Induces excessive use of anti-inflammatory drugs,
- The person can not use painkillers due to another disease.
Doctors can prescribe antidepressants to prevent muscle-tension headache, especially if it is the chronic form.
These medications are not analgesic.
By contrast, antidepressants stabilize the levels of some brain chemicals that may be involved in the development of headache (for example serotonin).
It is not necessary for people to be depressed to be able to use these medications.
If the headache is of cervical origin, the doctor can recommend preventive medicines, because they take effect even when the symptoms have already appeared.
Preventive medications can be used regardless of where the pain is present (frontal area, occipital area, eyes, etc.)
Tricyclic antidepressants, including nortriptyline (Norfenazine), are the drugs most prescribed to prevent tension headache. They are effective for the treatment of sporadic headache and for chronic headache. The side effects of these medications include: weight gain, drowsiness and dry mouth.
Antidepressants such as fluoxetine (Prozac® and others) have fewer side effects than tricyclic antidepressants, but are generally not considered effective for tension headache.Anticonvulsants and muscle relaxants
Other medications that can prevent tension headache include anticonvulsants, such as topiramate (Topamax®), gabapentin (Neurontin®), and muscle relaxants such as thiocolchicoside (Adalgur).
Preventive medications can start to be effective after several weeks, because they must accumulate in the nervous system. People should not be discouraged if they do not notice an immediate improvement as it may take a couple of months or more.
It must be remembered that excessive use of caffeine or analgesics to relieve pain in the acute phase can reduce the effect of a preventive medication.
In order to obtain the greatest effectiveness of a preventive medicine, it is necessary to take the minimum possible quantity of anti-inflammatories.
The doctor monitors the evolution of the treatment to make sure that the preventive medicine is working. If the headache is under control, the dose of the medication can be gradually reduced.
Medications for migraine
Several medications have been developed for the treatment of migraine.
In addition, some medications often used to treat other diseases can also be effective in relieving or preventing migraine.
The medications used to combat migraine fall into two categories:
These are used during an acute migraine attack and have been developed to relieve symptoms that are already present.Preventive medications
Generally, these types of medications are used daily to reduce the severity or frequency of the migraine. To begin a preventive treatment of migraine, the frequency and severity of the headache, the degree of disability caused by headache and other concomitant diseases must be taken into account. Some medications are not recommended for pregnant or breastfeeding women and are not recommended for children either. The doctor can help find the most suitable medication for each person.
For better results, you must take analgesic drugs as soon as the signs and symptoms of migraine appear. It may be beneficial to lie down to sleep in a dark room after taking medications.
These medications, such as ibuprofen (Ibudol and Espididol, etc.), or paracetamol (Efferalgan, etc.) can help relieve mild migraine.
Medications that are marketed as specific for migraine, such as the combination of paracetamol, aspirin and caffeine (Saldeva and others), can relieve moderate pain caused by migraine, but are not effective in relieving severe migraines. If taken too often or for too long, these medications can cause ulcers, gastrointestinal bleeding and rebound pain.
For many people who suffer from migraine attacks, triptans are the most commonly used medication. These medications are effective in relieving pain, nausea, sensitivity to light (photophobia) and noise, these are all symptoms of migraine.
Among the most prescribed medications is sumatriptan (Imigran®).
The side effects of the triptans include: nausea, vertigo and muscle weakness. These medications are not recommended for people at risk of heart attack and stroke.
It is a medicine that is the combination between ergotamine and caffeine (Cafergot®), its price is lower, but it is less effective compared to the triptans. The effectiveness of this medication is greater in patients in whom the pain lasts 48 hours.
Often, migraine is accompanied by nausea and, sometimes, vomiting. For this reason, a medicine for nausea is recommended, which is usually combined with other medications.
Among the medications that are most prescribed is metoclopramide (Primperan).
Drugs containing narcotic substances, especially codeine, can be used for the treatment of pain caused by migraine in cases where people can not take the triptans or ergotamine. Narcotics cause dependence and are generally taken as a last resort.
Dexamethasone (for example Dexa-tavegil)
This corticosteroid can be used in combination with other medications to reduce pain. Dexamethasone should not be used regularly due to the risk of steroid toxicity.
People who suffer two or more debilitating attacks per month can undergo preventive treatment, if the headache is resistant to analgesic drugs or if the signs and symptoms of migraine include a persistent aura, numbness or weakness.
Preventive medications can reduce the frequency, severity, and duration of the headache and may increase the effectiveness of medications to relieve symptoms. The doctor may recommend taking preventive medications daily, only when a predictable factor approaches, such as example, menstruation.
In most cases, preventive medications do not completely eliminate the headache and some serious side effects.
If the patient has had good results with preventive medications, that is, if for a period of time ranging from 6 months to a year he has not had a migraine again, the doctor may recommend that he stop the medications to see if the migraine returns To appear.
To obtain better results, you must use the medications listed below following the doctor’s instructions:
Beta blockers are often used to treat high blood pressure in the coronary artery, but they can also reduce the frequency and severity of migraine. It has been demonstrated that propranolol (Sumial®) is a very effective beta-blocker for the prevention of migraine.
In addition, antihypertensive medications (to reduce blood pressure) such as lisinopril (Zestril) are effective in reducing the duration and severity of migraine.
Scientists still do not understand exactly why these cardiovascular drugs prevent migraine attacks. Some of the side effects include: dizziness, drowsiness or vertigo.
Some antidepressants help prevent certain types of headaches, including migraine. Often, tricyclic antidepressants, such as amitriptyline (Tryptisol) are prescribed for the prevention of migraine.
Tricyclic antidepressants can prevent migraine because its action influences serotonin and other brain chemicals.
It has been shown that only amitriptyline is effective for migraine. People should not be depressed to get the benefits of these medications.
Among the different types of antidepressants are the selective serotonin reuptake inhibitors, but studies show that good results have not been obtained with regard to the prevention of migraine.
medications Some antiepileptic drugs, such as sodium valproate (Depakine), topiramate (Topamax), and gabapentin, reduce the frequency with which migraine occurs.
Be careful because too high doses of these antiepileptic drugs can cause side effects such as nausea, diarrhea, vomiting, cramps, hair loss and vertigo.
It is an antihistamine that alters the activity of serotonin. Doctors prescribe it for children as a preventive measure.
Botulinum toxin type A (Botox)
The Food and Drug Administration has approved botulinum toxin type A for the treatment of migraine in adults. Injections are placed in the muscles of the forehead and neck. When the injection is effective, the treatment should be repeated usually every 12 weeks.